GOOD SAMARITAN CARECHOICE & COMPLIANCE GROUP LLC (NPI# 1316354459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316354459 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN CARECHOICE & COMPLIANCE GROUP LLC |
| Other Organization Name | A GOOD SAMARITAN HOME- BARBADOS |
| Practice Address |
5315 Barbados Cir Stockton CA 95210-6608 |
| Practice Telephone | 2094510656 |
| Practice Fax Number | 2094510656 |
| Mailing Telephone | 2094510656 |
| Mailing Fax Number | 2094510656 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |
| Authorized Official Name | MS. PRAXEDES SEDY DEMESA (PRESIDENT) |
| Authorized Official Telephone | 2094066610 |
| Authorized Official Credential | NHA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 397005245 | CA | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| A Good Samaritan Home- Barbados | Doing Business As Name - Organization |
| Street Address |
5315 BARBADOS CIR |
| City | STOCKTON |
| State | CA |
| Zip Code | 95210-6608 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021970 | Leslie Jazmin Marin | Student in an Organized Health Care Education/Training Program | 7109 Danny Dr, Stockton, Stockton, CA 95210 | 2020-07-27 |
| 1043866692 | Alexis Thomasson | Behavior Technician | 7109 Danny Drive, Stockton, CA 95210 | 2019-08-09 |
| 1821651324 | Maria Guadalupe Toledo | Lactation Consultant, Non-RN | 7912 Hammer Lane, Stockton, CA 95210 | 2019-04-19 |
| 1508226440 | Active Life Adult Day Care, Inc. | Clinic/Center | 7209 Tam O'shanter Dr., Stockton, CA 95210 | 2016-03-04 |
| 1548631260 | Rachel Standley | Substance Abuse Rehabilitation Facility | 8017 El Cajon St, Stockton, CA 95210 | 2015-10-08 |
| 1225435308 | Active Life Medical Produtcs Inc | Durable Medical Equipment & Medical Supplies | 611 W Grider Way, Stockton, CA 95210 | 2014-12-04 |
| 1942633318 | Kimberly Ruiz Dizon | Physician Assistant | 1530 E Hammer Ln, Stockton, CA 95210 | 2013-08-20 |
| 1285920983 | Supplemental Health Care | Preferred Provider Organization | 8425 Kiltie Wy, Stockton, CA 95210 | 2011-06-22 |
| 1770807901 | Stockton Medical Weight Loss Center Inc | Internal Medicine | 1801 E. March Lane, Suite 400d, Stockton, CA 95210 | 2010-03-17 |
| 1699911412 | Pratap Krishna Anne | Pharmacist | 1801 E.march Ln, Suite:b280, Bjrx, Stockton, CA 95210 | 2008-12-29 |
| Find all providers in zip 95210 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407489966 | Hollywood Rcfe, LLC | Assisted Living Facility | 2306 Hollywood Dr, Stockton, CA 95210-1626 | 2020-02-12 |
| 1942606108 | Brandon Lee Rose | Assisted Living Facility | 9207 Mammath Peak Cir, Stockton, CA 95212-3212 | 2014-11-14 |
| 1477809259 | Mgsact, Inc. | Assisted Living Facility | 517 East Fulton Street, Stockton, CA 95204-2227 | 2012-07-30 |
| 1619114881 | Stockton Heritage Partners, LLC | Assisted Living Facility | 3530 Deer Park Dr, Stockton, CA 95219-2350 | 2009-01-09 |
| 1083899660 | Country Palms Care Home | Assisted Living Facility | 2905 Bristol Ave, Stockton, CA 95204-3935 | 2008-01-02 |
| 1376723973 | Icare Manor, Inc. | Assisted Living Facility | 1215 W Swain Rd, Stockton, CA 95207-4228 | 2007-11-12 |
| 1982803961 | Villa Marche | Assisted Living Facility | 1119 Rose Marie Ln, Stockton, CA 95207 | 2007-07-11 |
| 1023225372 | Tru Health Inc | Assisted Living Facility | 2324 Lever Blvd, Stockton, CA 95206-2900 | 2007-05-17 |
| 1639205925 | Covenant Care, Inc | Assisted Living Facility | 2435 Wagner Heights Rd, Stockton, CA 95209-1778 | 2007-02-23 |
| 1407997281 | Mgsact Inc | Assisted Living Facility | 517 E Fulton St, Stockton, CA 95204 | 2007-02-12 |
| Find all providers in STOCKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.