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GOOD SAMARITAN SUPPORTED LIVING LLC NPI 1124547146


NPI Information

NPI: 1124547146
Provider Name: GOOD SAMARITAN SUPPORTED LIVING, LLC
Classification: Technician - 3747A0650X
Entity Type: Organization

Specialization: Attendant Care Provider

Address:
616 MAWYER DR
COLUMBUS, OH
ZIP 43085
Phone: (614) 893-0579
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GOOD SAMARITAN SUPPORTED LIVING, LLC is an attendant care provider technician in Columbus, OH. The provider is an individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. GOOD SAMARITAN SUPPORTED LIVING, LLC NPI is 1124547146. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

616 MAWYER DR
COLUMBUS, OH
ZIP 43085-403
Phone: (614) 893-0579

The provider's authorized official is Maria Theresa Yebra Villanueva .
The authorized official title is Rn Manager and has the following contact phone number (614) 893-0579.

The enumeration date for this NPI number is 9/11/2017 and was last updated on 9/11/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered NurseNo
2163W00000XRegistered Nurse318641OHIONo
3164W00000XLicensed Practical NurseNo
43747A0650XTechnicianAttendant Care ProviderYes
53747P1801XTechnicianPersonal Care AttendantNo
6374U00000XHome Health AideNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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