Good Samaritan Health Group, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1195N Issued in OH

Legal business name

GOOD SAMARITAN HEALTH GROUP, INC

Practice address

32900 Detroit Rd
Avon, OH 44011-2018

Phone

(440) 937-6201

Fax

(440) 937-5955

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. William Shackleford, LNHA

Title

Administrator

Phone

(440) 937-6201

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962528422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32900 DETROIT RD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440112018",
            "telephone_number": "440-937-6201",
            "fax_number": "440-937-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32900 DETROIT RD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440112018",
            "telephone_number": "440-937-6201",
            "fax_number": "440-937-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HEALTH GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHACKLEFORD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "440-937-6201",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "1195N",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ava Gleason, LPC
• Kathryn Rae Goebel, MD
• Lester Goetz, PT
• Andrew Shirali Goldblum, DO
• Golden Pathways Senior Care & Solutions LLC
• Good Samaritan Nursing Home, LLC
• Donna Goodwin, APRN, CNP
• Irene Chryssovalantou Grabovac, NP
• Grady Podiatry LLC
• Kristina Grasso, PT, DPT

• Skilled Nursing Facility in Avon, OH
• Providers in Avon, OH by specialty
• Skilled Nursing Facility in Ohio

• 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.