NPIMap

Organization Active NPI

Good Samaritan Home Care LLC

  • Attendant Care Provider
  • Indianapolis, IN
National Provider Identifier
1992536254
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
Legal business name
GOOD SAMARITAN HOME CARE LLC
Practice address
8250 Bash St # C7
Indianapolis, IN 46250-1938
Phone
(463) 710-5465
Fax
(317) 342-9539
NPI assigned
Aug 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Mrs. Sylvia L DavenportNPI 1477391332
Title
Ceo
Phone
(463) 710-5465

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Attendant Care Provider 3747A0650X Primary
Child Physical Disabilities Respite Care 385HR2065X

Addresses

Primary practice location

8250 Bash St # C7
Indianapolis, IN 46250-1938

Mailing address

8250 Bash St # C7
Indianapolis, IN 46250-1938
Phone (463) 710-5465

Other names 1

  • Good Samaritan Home Care LLC Other name

National Provider Directory

National Provider Directory

Locations

8250 Bash St
#C7
Indianapolis, IN 46250
Phone (463) 710-5465

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1992536254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8250 BASH ST # C7",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501938",
            "telephone_number": "463-710-5465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8250 BASH ST # C7",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462501938",
            "telephone_number": "463-710-5465",
            "fax_number": "317-342-9539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-09",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "463-710-5465",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Samaritan Home Care LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Good Samaritan Home Care LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.