Healthcare Provider Details

I. General information

NPI: 1720916505
Provider Name (Legal Business Name): THE GOOD SAMARITAN HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2440 E WHITTEN ST
CHANDLER AZ
85225-2832
US

IV. Provider business mailing address

2440 E WHITTEN ST
CHANDLER AZ
85225-2832
US

V. Phone/Fax

Practice location:
  • Phone: 480-733-7070
  • Fax:
Mailing address:
  • Phone: 480-733-7070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3104A0630X
TaxonomyAssisted Living Facility (Behavioral Disturbances)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: RACHELLE LAMY LIMITE
Title or Position: MANAGER
Credential: SOCIAL WORKER
Phone: 480-733-7070