THE GOOD SAMARITAN STAFFING (NPI# 1720598147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720598147 |
| Entity Type | Organization |
| Organization Name | THE GOOD SAMARITAN STAFFING |
| Practice Address |
17935 56th Ave N Plymouth MN 55446-3018 |
| Practice Telephone | 6127724020 |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | SYED MUSTAFA HUSSAIN (DIRECTOR OF OPERATIONS) |
| Authorized Official Telephone | 6127724020 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 383295 | MN | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 656 Shryer Ave W, Roseville, MN 551136437 | 6127724020 |
| Street Address |
17935 56TH AVE N |
| City | PLYMOUTH |
| State | MN |
| Zip Code | 55446-3018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114552379 | Molly M Mahoney | Pharmacist | 4110 Juneau Lane N, Plymouth, MN 55446 | 2020-03-09 |
| 1073064804 | Owen Payne Kusick | Student in an Organized Health Care Education/Training Program | 16717 49th Pl N, Plymouth, MN 55446 | 2016-10-17 |
| 1043696214 | Kari Shoemaker | Speech-Language Pathologist | 5855 Cheshire Parkway, Plymouth, MN 55446 | 2015-08-10 |
| 1902206899 | Kathleen E Steensma | Nurse Practitioner | 15700 37th Ave N. #110, Plymouth, MN 55446 | 2014-08-27 |
| 1851715163 | Group Health Plan Inc | Clinic/Center | 5000 Fernbrook Ln N, Plymouth, MN 55446 | 2014-02-06 |
| 1588903009 | Laura Davidson | Physician Assistant | 3365 Plymouth Blvd., Suite 110, Plymouth, MN 55446 | 2013-02-04 |
| 1366680688 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6025 Shenandoah Ln N, Plymouth, MN 55446 | 2009-01-23 |
| 1205046646 | Merida A Miller | Obstetrics & Gynecology | 4155 Cty Rd 101 N, Plymouth, MN 55446 | 2007-05-23 |
| 1376684746 | West Metro Ophthalmology, Pa | Ophthalmology | 15655 37th Ave N Ste 200, Plymouth, MN 55446 | 2007-02-09 |
| 1952401390 | Grand St Paul Cvs LLC | Pharmacy | 4140 Rd 101 N, Plymouth, MN 55446 | 2006-09-25 |
| Find all providers in zip 55446 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649890682 | Mohib Incorporated | Home Health | 17615 48th Ave N, Plymouth, MN 55446-2012 | 2020-04-20 |
| 1700418977 | Peaceful Care Limited Liability Company | Home Health | 2415 Annapolis Ln N Ste 130, Plymouth, MN 55441-3632 | 2020-02-06 |
| 1073153664 | Pleasant Light LLC | Home Health | 6150 Quinwood Ln N Apt 5104, Plymouth, MN 55442-1301 | 2020-01-10 |
| 1265075279 | Mast Enterprises | Home Health | 40800 Five Mile Rd Ste C, Plymouth, MI 48170 | 2019-10-22 |
| 1821557869 | Answers for Elders LLC | Home Health | 225 Water St Ste A202, Plymouth, MA 02360-4060 | 2019-03-19 |
| 1932666104 | Dannys Staffing LLC | Home Health | 375 Raymond Rd, Plymouth, MA 02360-6812 | 2019-02-25 |
| 1346713682 | Prisendorf Care, LLC | Home Health | 3131 Fernbrook Ln N Ste 105, Plymouth, MN 55447-5336 | 2019-01-09 |
| 1174002554 | Generation Care Inc. | Home Health | 3150 Zircon Ln N, Plymouth, MN 55447-1064 | 2018-08-07 |
| 1912493404 | Guided Living Senior Home Care, LLC | Home Health | 15 Richards Rd Ste 1, Plymouth, MA 02360-4871 | 2018-07-08 |
| 1700243649 | Minnesotawest Home Healthcare Inc | Home Health | 3403 Kilmer Ln N, Plymouth, MN 55441-2415 | 2016-01-22 |
| Find all providers in PLYMOUTH | ||||
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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.