Samjoge Compassionate Care Services

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

SAMJOGE COMPASSIONATE CARE SERVICES

Practice address

4620 Storm Cat LN
Hope Mills, NC 28348-8098

Phone

(803) 497-2893

NPI assigned

Jan 7, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Samuel Doty Siebo, N/A

Title

Chief Executive Officer

Phone

(803) 497-2893

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1736208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736208000000",
    "number": "1730998345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 STORM CAT LN",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283488098",
            "telephone_number": "803-497-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 STORM CAT LN",
            "city": "HOPE MILLS",
            "state": "NC",
            "postal_code": "283488098",
            "telephone_number": "803-497-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMJOGE COMPASSIONATE CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-07",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A",
        "authorized_official_last_name": "SIEBO",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "DOTY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "803-497-2893",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility (Mental Illness) in Hope Mills, NC
• Providers in Hope Mills, NC by specialty
• Assisted Living Facility (Mental Illness) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; 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.