Active NPI
The Good Samaritan Staffing
- Home Health Agency
- Plymouth, MN
National Provider Identifier
1720598147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 383295
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.