Good Samaritan Society HCBS-TX, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GOOD SAMARITAN SOCIETY HCBS-TX, LLC

Doing business as

Good Samaritan Society-Home Health

Practice address

3901 Montecito Dr Ste a
Denton, TX 76210-5557

Phone

(940) 565-6338

Fax

(940) 565-6339

NPI assigned

Feb 27, 2008

Last updated

Sep 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Johansen

Title

President

Phone

(605) 362-3900

Specialties & licenses 1

Addresses

Other names 1

• Good Samaritan Society-Home Health Doing business as

Electronic endpoints 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• The Evangelical Lutheran Good Samaritan Society

  dba Good Samaritan - Ottumwa

  • Skilled Nursing Facility
  • Ottumwa, IA
  • NPI 1235129735

  Member Of

  NPD member

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632096000000",
    "number": "1821267527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 MONTECITO DR STE A",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762105557",
            "telephone_number": "940-565-6338",
            "fax_number": "940-565-6339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 MONTECITO DR STE A",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762105557",
            "telephone_number": "940-565-6338",
            "fax_number": "940-565-6339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN SOCIETY HCBS-TX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-20",
        "status": "A",
        "authorized_official_last_name": "JOHANSEN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-362-3900"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Good Samaritan Society-Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karen O Goff, MD
• Laura A Gonzales, PA-C
• Deisy Gonzalez Zapata
• Lora Gonzalez
• Marcos D. Gonzalez, LPC
• Good Sleep Healthcare Solutions LLC (Good Sleep Healthcare Solutions)
• Rob Goodhue
• Dustin Goodloe, PHARM-D
• Cara Goodman, LPC, NCC
• Natalie Elizabeth Goodman, D.D.S

• Home Health Agency in Denton, TX
• Providers in Denton, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; 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.