Good Samaritan Nursing Home, Llc

LBN: Good Samaritan Nursing Home, Llc
Good Samaritan Nursing Home, Llc is an health care organization with primary practice located at 32900 Detroit Rd , Avon OH 44011-2018. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Good Samaritan Nursing Home, Llc can be contacted via phone (440) 937-0410, or through Shackleford, William via phone (440) 937-0410.

Contact Information

Primary practice address
32900 Detroit Rd Avon OH 44011-2018
Phone: (440) 937-0410
Fax: (440) 937-9384
Website:
Map and Directions
Authorized official contact:
Name: Shackleford, William LNHA
Phone: (440) 937-0410

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X

Profile Details

NPI number 1982807954
LBN Legal business name Good Samaritan Nursing Home, Llc
DBA Doing business as
Authorized official Shackleford, William LNHA
Entity Organization
Organization subpart 1 No
Enumeration date Jun 7th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1982807954 NPPES
Ohio MEDICAID 2339697

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