Healthcare Provider Details

I. General information

NPI: 1972466878
Provider Name (Legal Business Name): GOOD SAMARITANS HOMECARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

186 N PALAFOX ST
PENSACOLA FL
32502-4839
US

IV. Provider business mailing address

186 N PALAFOX ST
PENSACOLA FL
32502-4839
US

V. Phone/Fax

Practice location:
  • Phone: 850-679-0784
  • Fax: 850-679-0856
Mailing address:
  • Phone: 850-679-0784
  • Fax: 850-679-0856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ANDREA BURNETT
Title or Position: MANAGER
Credential:
Phone: 850-501-5334