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General NPI Number Information
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NPI Number | 1992536254
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Entity Type | Organization
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Legal Business Name | GOOD SAMARITAN HOME CARE LLC
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Dates
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Enumeration Date | 08/09/2024
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 8250 BASH ST # C7
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-1938
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Country | US
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Telephone | 463-710-5465
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Fax | 317-342-9539
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Provider Business Mailing Address
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Address Line | 8250 BASH ST # C7
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City | INDIANAPOLIS
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State | IN
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Zip | 46250-1938
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Country | US
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Telephone | 463-710-5465
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. SYLVIA L DAVENPORT
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Credential |
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Telephone | 463-710-5465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3747A0650X
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Taxonomy Name | Attendant Care Provider
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License Number |
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License Number State |
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