Good Samaritan Residential Care Llc

LBN: Good Samaritan Residential Care Llc
Good Samaritan Residential Care Llc is an health care organization with primary practice located at 1536 E Inouye Dr , Casa Grande AZ 85122-6590. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Good Samaritan Residential Care Llc can be contacted via phone (817) 480-3474, or through Twagirayezu, Didier via phone (817) 480-3474.

Contact Information

Primary practice address
1536 E Inouye Dr Casa Grande AZ 85122-6590
Phone: (817) 480-3474
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Twagirayezu, Didier
Phone: (817) 480-3474

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1508591561
LBN Legal business name Good Samaritan Residential Care Llc
DBA Doing business as
Authorized official Twagirayezu, Didier
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2022
Last updated Jul 22nd, 2022 - about 2 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 1508591561 NPPES
Arizona Other BH7786 AZDHS

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