Organization Active NPI

The Good Samaritan Staffing

  • Home Health Agency
  • Plymouth, MN
National Provider Identifier
1720598147
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
383295 Issued in MN
Legal business name
THE GOOD SAMARITAN STAFFING
Practice address
17935 56TH Ave N
Plymouth, MN 55446-3018
Phone
(612) 772-4020
NPI assigned
Oct 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Syed Mustafa Hussain
Title
Director of Operations
Phone
(612) 772-4020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 383295 MN Primary

Addresses

Primary practice location

17935 56TH Ave N
Plymouth, MN 55446-3018

Mailing address

17935 56TH Ave N
Plymouth, MN 55446-3018

Other practice location 1

656 Shryer Ave W
Roseville, MN 55113-6437
Phone (612) 772-4020

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1507680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1720598147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17935 56TH AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17935 56TH AVE N",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554463018",
            "telephone_number": "612-772-4020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "656 Shryer Ave W",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MN",
            "postal_code": "551136437",
            "country_code": "US",
            "telephone_number": "612-772-4020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE GOOD SAMARITAN STAFFING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-11",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "MUSTAFA",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "612-772-4020"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "383295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.