MEDICARE: SAMARITAN INNS, 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	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1437455516
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAMARITAN INNS, INC.

Provider Business Mailing Address
First Line	:	2523 14TH ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-6952
Country	:	US
Telephone Number	:	202-667-8831
Fax Number	:	202-667-8026

Provider Business Practice Location Address
First Line	:	2523 14TH ST NW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20009-6952
Country	:	US
Telephone Number	:	202-667-8831
Fax Number	:	202-667-8026

Authorized Official
Title or Position	:	EXECUTIVE CHAIR & CEO
Name	:	LEROY PINGHO
Credential	:
Telephone Number	:	240-441-6169

Provider Enumeration Date	:	02/07/2011
Last Update Date	:	06/23/2026

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