GOOD SAM HEALING CENTER NPI 1407462104

NPI Information

  • NPI: 1407462104
  • Provider Name: GOOD SAM HEALING CENTER
  • Classification: Custodial Care Facility - 311ZA0620X
  • Specialization: Adult Care Home
  • Entity Type: Organization
  • CLIA Number: 05D2328938
  • Address: 229 S CHESTER AVE
    BAKERSFIELD, CA
    ZIP 93304
  • Phone: (661) 903-5555

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NPI Details

GOOD SAM HEALING CENTER is an adult care home custodial care facility in Bakersfield, CA. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. GOOD SAM HEALING CENTER NPI is 1407462104. The provider is registered as an organization entity type.

The provider's business location address is:

229 S CHESTER AVE
BAKERSFIELD, CA
ZIP 93304-648
Phone: (661) 903-5555

The provider's authorized official is Minty Dillon .
The authorized official title is Ceo and has the following contact phone number (661) 215-7500.

The CLIA number assigned to this NPI record is 05D2328938 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/17/2020 and was last updated on 4/18/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1311ZA0620XCustodial Care FacilityAdult Care HomeYes
2385H00000XRespite CareNo

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: 11/21/2025

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