MEDICARE: GOOD SAMARITAN HOME HEALTH CARE INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	008810	TX
2	251E00000X	Home Health Agency	679478	TX

General Provider Information

NPI Number	:	1982695862
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOOD SAMARITAN HOME HEALTH CARE INC.

Provider Business Mailing Address
First Line	:	9550 SKILLMAN
Second Line	:	SUITE #320
City	:	DALLAS
State	:	TX
Zip	:	75243-8252
Country	:	US
Telephone Number	:	972-222-1282
Fax Number	:	972-222-1493

Provider Business Practice Location Address
First Line	:	9550 SKILLMAN
Second Line	:	SUITE #320
City	:	DALLAS
State	:	TX
Zip	:	75243-8252
Country	:	US
Telephone Number	:	972-222-1282
Fax Number	:	972-222-1493

Authorized Official
Title or Position	:	CEO
Name	:	FELICIA N OKAFOR
Credential	:	RN
Telephone Number	:	972-222-1282

Provider Enumeration Date	:	10/31/2005
Last Update Date	:	06/12/2024

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