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NPI Code Detail

MEDICARE: GOOD SAMARITAN SOCIETY HCBS-TX, LLC

MEDICARE: GOOD SAMARITAN SOCIETY HCBS-TX, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251G00000XCommunity Based Hospice Care AgencyTX

General Provider Information

NPI Number : 1043608169
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOOD SAMARITAN SOCIETY HCBS-TX, LLC
Provider Business Mailing Address
First Line : 7304 GOOD SAMARITAN CT STE A
Second Line :
City : EL PASO
State : TX
Zip : 79912-1602
Country : US
Telephone Number : 915-533-0999
Fax Number : 915-533-0997
Provider Business Practice Location Address
First Line : 7304 GOOD SAMARITAN CT STE A
Second Line :
City : EL PASO
State : TX
Zip : 79912-1602
Country : US
Telephone Number : 915-533-0999
Fax Number : 915-533-0997
Authorized Official
Title or Position : VP, FINANCE
Name : ERIC VANDEN HULL
Credential :
Telephone Number : 605-362-5510
Provider Enumeration Date : 12/23/2014
Last Update Date : 09/02/2025

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Directions to “GOOD SAMARITAN SOCIETY HCBS-TX, LLC ” Practice Location

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