Organization Active NPI

Good Samaritan Home Health Care

  • Home Health Agency
  • Missouri City, TX
National Provider Identifier
1811084965
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
NA Issued in TX
Legal business name
GOOD SAMARITAN HOME HEALTH CARE
Practice address
1718 Crescent Oak Dr
Missouri City, TX 77459-4543
Phone
(281) 416-7099
Fax
(281) 416-7099
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Roby Philip, RN
Title
Administrator
Phone
(281) 416-7099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NA TX Primary

Addresses

Primary practice location

1718 Crescent Oak Dr
Missouri City, TX 77459-4543

Mailing address

1718 Crescent Oak Dr
Missouri City, TX 77459-4543
Phone (281) 416-7099

Other identifiers 1

IdentifierTypeStateIssuer
NAMedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811084965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 CRESCENT OAK DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594543",
            "telephone_number": "281-416-7099",
            "fax_number": "281-416-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 CRESCENT OAK DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594543",
            "telephone_number": "281-416-7099",
            "fax_number": "281-416-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOME HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PHILIP",
        "authorized_official_first_name": "ROBY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-416-7099",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "NA",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Missouri City, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.