Organization · Type 2 NPI

Good Samaritan Supported Living, LLC

Attendant Care Provider · Columbus, OH

NPI number 1124547146 Active

Practice location

616 Mawyer Dr
Columbus, OH 43085-5403

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X318641 (OH)
Registered Nurse 163W00000XNone listed
Licensed Practical Nurse 164W00000XNone listed
Attendant Care Provider Primary 3747A0650XNone listed
Personal Care Attendant 3747P1801XNone listed
Home Health Aide 374U00000XNone listed

Attendant Care Provider: An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.

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About NPI 1124547146

Good Samaritan Supported Living, LLC's National Provider Identifier is 1124547146, issued on Sep 11, 2017. The primary taxonomy on file is Attendant Care Provider (3747A0650X), and the practice location is in Columbus, OH. The record was last updated on Sep 11, 2017.