Healthcare Provider Details

I. General information

NPI: 1043174899
Provider Name (Legal Business Name): SAMARITAN HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/15/2025
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7617 REDONDO DR
ROWLETT TX
75088-6305
US

IV. Provider business mailing address

7617 REDONDO DR
ROWLETT TX
75088-6305
US

V. Phone/Fax

Practice location:
  • Phone: 214-940-3853
  • Fax:
Mailing address:
  • Phone: 214-940-3853
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. MALIAKEL SUNNY
Title or Position: ADMINISTRATOR
Credential:
Phone: 214-940-3853