Village Samaritan, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

022-R-0494 Issued in GA

Legal business name

VILLAGE SAMARITAN, LLC

Practice address

907 S Park St Ste H
Carrollton, GA 30117-4455

Phone

(770) 830-5683

Fax

(770) 200-1959

NPI assigned

Feb 17, 2009

Organization subpart

No

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

Authorized official

Name

Pascha N Williams, LPN

Title

Executive Director / Owner

Phone

(770) 830-5683

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1234828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234828800000",
    "number": "1760621676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "907 S PARK ST STE H",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174455",
            "telephone_number": "770-830-5683",
            "fax_number": "770-200-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 S PARK ST STE H",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301174455",
            "telephone_number": "770-830-5683",
            "fax_number": "770-200-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE SAMARITAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-17",
        "last_updated": "2009-02-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "PASCHA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR / OWNER",
        "authorized_official_telephone_number": "770-830-5683",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "022-R-0494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lilth Vanest-Hood, RBT
• Larry Alan Vaughn, MD
• Michael S. Vavrik, M.D.
• Rachel Rooks Veal, LPC
• Myriam C Vela-Ortiz, M.D.
• Madeleine Vinet
• Kandra S Vogt, M.D.
• Beatrice L Wade-Holloway, CRNA
• Katie Clark Wadlington, MD
• Mark Wagemaker, LPC 5042

• In Home Supportive Care Agency in Carrollton, GA
• Providers in Carrollton, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2009; 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.