Active NPI
Good Samaritan Residential
- Home Health Agency
- Maricopa, AZ
National Provider Identifier
1972099257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- GOOD SAMARITAN RESIDENTIAL
- Practice address
- 17254 N Rosemont St
Maricopa, AZ 85138-1874 - Phone
- (480) 707-1423
- NPI assigned
- Jul 10, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Temple, OWNER
- Title
- Cheif Operating Officer
- Phone
- (480) 707-1423
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
17254 N Rosemont St
Maricopa, AZ 85138-1874
Mailing address
7346 E Melrose St
Mesa, AZ 85207-2071
Phone (480) 707-1423
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1575417600000",
"number": "1972099257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7346 E MELROSE ST",
"city": "MESA",
"state": "AZ",
"postal_code": "852072071",
"telephone_number": "480-707-1423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17254 N ROSEMONT ST",
"city": "MARICOPA",
"state": "AZ",
"postal_code": "851381874",
"telephone_number": "480-707-1423"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD SAMARITAN RESIDENTIAL",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-10",
"last_updated": "2019-12-04",
"status": "A",
"authorized_official_last_name": "TEMPLE",
"authorized_official_first_name": "JAMES",
"authorized_official_title_or_position": "CHEIF OPERATING OFFICER",
"authorized_official_telephone_number": "480-707-1423",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "OWNER"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maricopa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.