Organization Active NPI

Good Samaritan Home Health Care Inc.

  • Home Health Agency
  • Dallas, TX
National Provider Identifier
1982695862
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
679478 Issued in TX
Legal business name
GOOD SAMARITAN HOME HEALTH CARE INC.
Practice address
9550 Skillman
Suite #320
Dallas, TX 75243-8252
Phone
(972) 222-1282
Fax
(972) 222-1493
NPI assigned
Oct 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Felicia N Okafor, RNNPI 1902551658
Title
Ceo
Phone
(972) 222-1282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 008810 TX
Home Health Agency 251E00000X 679478 TX Primary

Addresses

Primary practice location

9550 Skillman
Suite #320
Dallas, TX 75243-8252

Mailing address

9550 Skillman
Suite #320
Dallas, TX 75243-8252
Phone (972) 222-1282

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031229000761 TX Part A Provider - Home Health Agency 5193623171 Practice locations: Dallas, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1982695862. Details of each certification follow.

Home health agency certification: CCN 679478

Legal name
GOOD SAMARITAN HOME HEALTH CARE INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 18, 2004
Last certification
Nov 26, 2018
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 19, 2003 in TX
Enrollment address
9550 Skillman St
Ste 320
Dallas, TX 75243-8252

Care Compare: Home health agency

Medicare Care Compare
Listed as
Good Samaritan Home Health Care IncCCN 679478 · All quality measures
Ownership
Proprietary
Certified
May 18, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1021226Good Samaritan Home Health Care Inc9550 Skillman Street Suite 320, Dallas, TX 75243Certificate of waiverJan 14, 2028

National Provider Directory

National Provider Directory

Locations

10935 Estate Ln
Ste 450
Dallas, TX 75238
Phone (972) 222-1282

9550 Skillman St
Ste 320
Dallas, TX 75243
Phone (972) 222-1282

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Louis Okafor Individual Corporate OfficerCfo Dec 8, 2020
W-2 Managing Employee Dec 8, 2020
Felecia Okafor Individual 5% Or Greater Direct Ownership InterestCeo Dec 8, 2020 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1982695862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9550 SKILLMAN",
            "address_2": "SUITE #320",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752438252",
            "telephone_number": "972-222-1282",
            "fax_number": "972-222-1493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 SKILLMAN",
            "address_2": "SUITE #320",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752438252",
            "telephone_number": "972-222-1282",
            "fax_number": "972-222-1493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOME HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2024-06-12",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "OKAFOR",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-222-1282",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "008810",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "679478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.