Organization Active NPI

Samaritans-at-Last LLC

  • Home Health Agency
  • Berwyn, PA
National Provider Identifier
1821298712
Registry record updated Apr 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
19993601 Issued in PA
Legal business name
SAMARITANS-AT-LAST LLC
Practice address
1055 Westlakes Dr
Suite 300
Berwyn, PA 19312-2410
Phone
(610) 566-1361
Fax
(610) 500-5223
NPI assigned
Jul 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2017

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

Authorized official

Name
Mr. Davis Menya
Title
Ceo
Phone
(610) 566-1361

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 19993601 PA Primary

Addresses

Primary practice location

1055 Westlakes Dr
Suite 300
Berwyn, PA 19312-2410

Mailing address

1055 Westlakes Dr
Suite 300
Berwyn, PA 19312-2410
Phone (610) 517-5560

Other identifiers 2

IdentifierTypeStateIssuer
1032084360001MedicaidPA
1022148690001MedicaidPA

National Provider Directory

National Provider Directory

Locations

1055 Westlakes Dr
Ste 300
Berwyn, PA 19312
Phone (610) 727-4050

NPI Registry JSON

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

{
    "created_epoch": "1184803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493251200000",
    "number": "1821298712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 WESTLAKES DR",
            "address_2": "SUITE 300",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193122410",
            "telephone_number": "610-517-5560",
            "fax_number": "610-500-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 WESTLAKES DR",
            "address_2": "SUITE 300",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193122410",
            "telephone_number": "610-566-1361",
            "fax_number": "610-500-5223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMARITANS-AT-LAST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-19",
        "last_updated": "2017-04-27",
        "status": "A",
        "authorized_official_last_name": "MENYA",
        "authorized_official_first_name": "DAVIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "610-566-1361",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": "19993601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1032084360001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022148690001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; 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.