VILLAGE SAMARITAN, LLC (NPI# 1760621676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760621676 |
| Entity Type | Organization |
| Organization Name | VILLAGE SAMARITAN, LLC |
| Practice Address |
907 S Park St Ste H Carrollton GA 30117-4455 |
| Practice Telephone | 7708305683 |
| Practice Fax Number | 7702001959 |
| Mailing Telephone | 7708305683 |
| Mailing Fax Number | 7702001959 |
| Enumeration Date | 2009-02-17 |
| Last Update Date | 2009-02-17 |
| Authorized Official Name | PASCHA N WILLIAMS (EXECUTIVE DIRECTOR / OWNER) |
| Authorized Official Telephone | 7708305683 |
| Authorized Official Credential | LPN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | 022-R-0494 | GA | Agencies |
| Street Address |
907 S PARK ST STE H |
| City | CARROLLTON |
| State | GA |
| Zip Code | 30117-4455 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679199392 | Southern Rad Onc LLC | Radiology | 809 South Park Street, Carrollton, GA 30117 | 2020-06-18 |
| 1093361404 | Eyedeal Eyecare LLC | Optometrist | 1735 S Us 27, Carrollton, GA 30117 | 2019-08-12 |
| 1710412473 | Janis James | Optometrist | 1735 S, Us-27, Walmart Vision Center, Carrollton, GA 30117 | 2017-05-01 |
| 1568881951 | Omar Hajmurad | Anesthesiology | 812 S Park St Ste 5, Carrollton, GA 30117 | 2014-04-14 |
| 1134550353 | Goodbodys Minor Med Express Care | Nurse Practitioner | 1670 South Park St., Carrollton, GA 30117 | 2013-12-13 |
| 1306187570 | Myriam C Vela-ortiz | Internal Medicine | 157 Clinic Ave Ste 203, Carrollton, GA 30117 | 2013-03-12 |
| 1891030201 | Air Evac Ems, Inc. | Ambulance | 827 Old Bremen Rd, Carrollton, GA 30117 | 2012-12-11 |
| 1952682486 | Angelic Wings Transport, Inc. | Non-emergency Medical Transport (VAN) | 362 B Columbia Drive, Carrollton, GA 30117 | 2011-08-29 |
| 1073819256 | Atlanta Prosthetics & Orthotics, Inc. | Durable Medical Equipment & Medical Supplies | 812 South Park Street, Suite 2, Carrollton, GA 30117 | 2011-02-04 |
| 1255640348 | Amy Gilbert | Counselor | 515 Tanner St, Carrollton, GA 30117 | 2010-10-06 |
| Find all providers in zip 30117 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245838358 | Hillpoint Homecare Inc | In Home Supportive Care | 2245 Keller Way Ste 370, Carrollton, TX 75006-2515 | 2020-10-12 |
| 1205329075 | Tara Jones | In Home Supportive Care | 760 Chickahominy Loop Apt 201, Carrollton, VA 23314-4069 | 2018-06-07 |
| 1326550476 | Sarang Home Care LLC | In Home Supportive Care | 4689 Mustang Pkwy Apt 2211, Carrollton, TX 75010-4485 | 2017-10-30 |
| 1851814412 | Premier Select Home Care LLC | In Home Supportive Care | 2410 Luna Rd Ste 202, Carrollton, TX 75006-6538 | 2017-07-25 |
| 1811419591 | Advocate Senior Care LLC | In Home Supportive Care | 1925 E Belt Line Rd Ste 509, Carrollton, TX 75006-5813 | 2017-07-13 |
| 1316480874 | Ocal Solutions | In Home Supportive Care | 536 5th St Nw, Carrollton, OH 44615-1008 | 2016-11-30 |
| 1821549684 | Ameriheart Health Care Services | In Home Supportive Care | 1846 E Rosemeade Pkwy, Ste 390, Carrollton, TX 75007-2637 | 2016-10-17 |
| 1548662166 | Daniel Elias Enriquez | In Home Supportive Care | 4645 Plano Pkwy Apt 6303, Carrollton, TX 75010-4954 | 2014-09-25 |
| 1114267648 | The Palace Residential Home Care | In Home Supportive Care | 1704 Willow Rd, Carrollton, TX 75006-3849 | 2013-02-20 |
| 1245533496 | Home Telehealth LLC | In Home Supportive Care | 3330 Earhart Dr., Suite 210, Carrollton, TX 75006 | 2010-12-09 |
| Find all providers in CARROLLTON | ||||
| City | CARROLLTON |
| Zip Code | 30117 |
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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.