Good Samaritan Family Care Home

LBN: Good Samaritan Family Care Home
Good Samaritan Family Care Home is an health care organization with primary practice located at 135 N Main St , Red Springs NC 28377-1327. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Good Samaritan Family Care Home can be contacted via phone (910) 843-9524, or through Bethea, Tondalaire via phone (910) 843-9524.

Contact Information

Primary practice address
135 N Main St Red Springs NC 28377-1327
Fax: (910) 843-9310
Website:
Authorized official contact:
Name: Bethea, Tondalaire

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X FCL078036 North Carolina

Profile Details

NPI number 1700894862
LBN Legal business name Good Samaritan Family Care Home
DBA Doing business as
Authorized official Bethea, Tondalaire
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700894862 NPPES
North Carolina MEDICAID 7804776

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