Good Samaritan Healthcare

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

GOOD SAMARITAN HEALTHCARE

Practice address

6825 W Russell Rd
Suite 170
Las Vegas, NV 89118-1888

Phone

(702) 896-8400

Fax

(702) 791-5600

NPI assigned

Mar 22, 2013

Last updated

Jul 20, 2020By 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

Maretes Godinez

Title

Managing Partner

Phone

(702) 542-5610

Specialties & licenses 1

Addresses

Tax ID family

Good Samaritan Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Good Samaritan Healthcare, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Las Vegas, NV
  • NPI 1366863458
  NPD tax ID

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

{
    "created_epoch": "1363910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595203200000",
    "number": "1952643413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 W RUSSELL RD",
            "address_2": "SUITE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181888",
            "telephone_number": "702-896-8400",
            "fax_number": "702-791-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 W RUSSELL RD",
            "address_2": "SUITE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181888",
            "telephone_number": "702-896-8400",
            "fax_number": "702-791-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-22",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A",
        "authorized_official_last_name": "GODINEZ",
        "authorized_official_first_name": "MARETES",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "702-542-5610"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Life Therapy, LLC
• Good Medicine Ranch LLC
• Good Sam LLC
• Good Samaritan Behavioral Health and Community Services (good samaritan crisis center)
• Good Samaritan Family Practice
• Good Samaritan Healthcare, LLC
• Good Samaritan Healthcare, LLC
• Good Samaritan Home Health LLC
• Good Samaritan Hospice, Inc.
• Good Samaritan LLC

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Nevada

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