Healthcare Provider Details

I. General information

NPI: 1699212787
Provider Name (Legal Business Name): GOOD SAMARITAN HOME HEALTH AGENCY, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/26/2017
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1780 WEHRLE DR STE 120
BUFFALO NY
14221-7000
US

IV. Provider business mailing address

1780 WEHRLE DR STE 120
BUFFALO NY
14221-7000
US

V. Phone/Fax

Practice location:
  • Phone: 716-783-8124
  • Fax: 716-204-8126
Mailing address:
  • Phone: 716-783-8124
  • Fax: 716-204-8126

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number1986L001
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SOFIA ARUTUNIAN
Title or Position: PRESIDENT
Credential: MS, BSN, RN
Phone: 716-602-5750