Active NPI
Good Samaritan Home Health LLC
- In Home Supportive Care Agency
- Bradenton, FL
National Provider Identifier
1699459123
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- GOOD SAMARITAN HOME HEALTH LLC
- Practice address
- 5108 15TH St E Ste 106
Bradenton, FL 34203-4844 - Phone
- (770) 882-9631
- NPI assigned
- Jun 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christian Eugene
- Title
- MGR
- Phone
- (770) 882-9631
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
5108 15TH St E Ste 106
Bradenton, FL 34203-4844
Mailing address
8965 Royal River Cir
Parrish, FL 34219-3219
Phone (770) 882-9631
Other names 1
- Acti-Kare Responsive In-Home Care
National Provider Directory
National Provider DirectoryLocations
5108 15th St E
Ste 106
Bradenton, FL 34203
Phone (770) 882-9631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686700800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686700800000",
"number": "1699459123",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8965 ROYAL RIVER CIR",
"city": "PARRISH",
"state": "FL",
"postal_code": "342193219",
"telephone_number": "770-882-9631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5108 15TH ST E STE 106",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342034844",
"telephone_number": "770-882-9631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD SAMARITAN HOME HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-14",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A",
"authorized_official_last_name": "EUGENE",
"authorized_official_first_name": "CHRISTIAN",
"authorized_official_title_or_position": "MGR",
"authorized_official_telephone_number": "770-882-9631"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Acti-Kare Responsive In-Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.