GOOD SAMARITAN CLINIC OF WEST VOLUSIA, INC. (NPI# 1730632225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730632225 |
| Entity Type | Organization |
| Organization Name | GOOD SAMARITAN CLINIC OF WEST VOLUSIA, INC. |
| Practice Address |
136 E Plymouth Ave Deland FL 32724-2871 |
| Practice Telephone | 1386738699 |
| Mailing Telephone | 1386738699 |
| Enumeration Date | 2016-08-01 |
| Last Update Date | 2016-08-01 |
| Authorized Official Name | DR. LYLE WADSWORTH (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 13867386990 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | ARNP 694272 | FL | Agencies |
| Street Address |
136 E PLYMOUTH AVE |
| City | DELAND |
| State | FL |
| Zip Code | 32724-2871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710382502 | Maritsa Cosmides Pastis | Pediatrics | 136 E Plymouth Ave, Deland, FL 32724-2871 | 2014-10-23 |
| 1396276275 | Patricia Rausch | Registered Nurse | 136 E Plymouth Ave, Deland, FL 32724-2871 | 2017-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528549490 | Ultra Health Providers of Florida | Internal Medicine | 105 Asterbrooke Dr, Deland, FL 32724 | 2018-08-28 |
| 1811473275 | April Gustafson | Nurse Practitioner | 557 Adenmore Ter, Deland, FL 32724 | 2018-07-18 |
| 1245720820 | Total Renal Laboratories Inc | Clinical Medical Laboratory | 3000 Davita Way, Deland, FL 32724 | 2018-05-18 |
| 1790294742 | Deland Manor Assisted Living Corp | Assisted Living Facility | 245 S. Amelia Ave, Deland, FL 32724 | 2017-09-21 |
| 1639617954 | Starting Point Mental Health, LLC | Counselor | 620 East New York Ave Ste B, Deland, FL 32724 | 2017-02-07 |
| 1255877221 | Emily Eunice | Specialist/Technologist | 2589 W Lake Dr., Deland, FL 32724 | 2017-01-13 |
| 1073960357 | Robert Solomon Jr. | Family Medicine | 1431 Orange Camp Rd Ste 118119, Deland, FL 32724 | 2016-05-17 |
| 1730535568 | Harold Alexander | Hearing Instrument Specialist | 124 S. Amelia Ave, Unit #b, Deland, FL 32724 | 2016-05-11 |
| 1720406747 | Angel Care Homes LLC | Assisted Living Facility | 1349 E. Wisconsin Avenue, Deland, FL 32724 | 2014-04-07 |
| 1508298860 | Lindenlea Assisted Living Inc. | Assisted Living Facility | 1180 Jackson Ranch Rd, Deland, FL 32724 | 2013-08-08 |
| Find all providers in zip 32724 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910935 | Senior Nannies Home Care Services, LLC | Nursing Care | 120 S Woodland Blvd Ste 200, Deland, FL 32720-5458 | 2019-03-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628789 | Nurses Vision 2020, LLC | Nursing Care | 8471 Nw 78th Ct, Tamarac, FL 33321-1618 | 2020-10-31 |
| 1538768171 | Amun- Ra Health Services | Nursing Care | 6446 Tabogi Trl, Wesley Chapel, FL 33545-1360 | 2020-10-24 |
| 1316546971 | Aaim Nursing Agency | Nursing Care | 12952 Sw 133rd Ct Ste B, Miami, FL 33186-6175 | 2020-10-23 |
| 1316544760 | Asz Caring Hearts Inc | Nursing Care | 2800 W Oakland Park Blvd Ste 305, Oakland Park, FL 33311-1309 | 2020-10-07 |
| 1063019693 | Front Porch Nurse Registry LLC | Nursing Care | 1680 Sw Bayshore Blvd Ste 112, Port St Lucie, FL 34984-3518 | 2020-10-06 |
| 1750988895 | Coffee & Grace LLC | Nursing Care | 1821 N Pearl St Ste A, Jacksonville, FL 32206-3663 | 2020-10-01 |
| 1508473745 | Atlantic Care Services Clermont LLC | Nursing Care | 15430 County Road 565a Ste P, Groveland, FL 34736-8243 | 2020-09-30 |
| 1851908388 | Atlantic Care Services Haines City LLC | Nursing Care | 651 E Main St Ste 12, Haines City, FL 33844-4241 | 2020-09-29 |
| 1568079069 | Benevolent Heart LLC | Nursing Care | 13366 Ocean Mist Dr, Jacksonville, FL 32258-5204 | 2020-09-28 |
| 1134732910 | Serenity Love and Care LLC | Nursing Care | 1105 Jordan Park St S, St Petersburg, FL 33712-2126 | 2020-08-31 |
| Find all providers with the same taxonomy | ||||
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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.