MEDICARE: SAMARITAN HOUSE INC.

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1629296645	OTHER	MD	NPI

General Provider Information

NPI Number	:	1255808457
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAMARITAN HOUSE INC.

Provider Business Mailing Address
First Line	:	2610 GREENBRIAR LN BLDG 1
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-4424
Country	:	US
Telephone Number	:	410-269-5605
Fax Number	:

Provider Business Practice Location Address
First Line	:	2610 GREENBRIAR LN BLDG 1
Second Line	:
City	:	ANNAPOLIS
State	:	MD
Zip	:	21401-4424
Country	:	US
Telephone Number	:	410-269-5605
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	CYNTHIA BETH HURD
Credential	:
Telephone Number	:	410-269-5605

Provider Enumeration Date	:	10/26/2018
Last Update Date	:	03/04/2025

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Directions to “SAMARITAN HOUSE INC. ” Practice Location

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