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GOOD SAMARITAN SUPPORTED LIVING, LLC
NPI 1124547146
Technician - Attendant Care Provider in Columbus, OH

Active since September 11, 2017
616 MAWYER DR, COLUMBUS, OH 43085(614) 893-0579 Get Directions Write a Review

NPPES record last updated: September 11, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Good Samaritan Supported Living, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GOOD SAMARITAN SUPPORTED LIVING, LLC (NPI 1124547146) is a healthcare organization registered as an attendant care provider in Columbus, Ohio and active in the NPI registry since September 2017. The organization lists Maria Theresa Yebra Villanueva, Rn Manager, as its authorized official.

NPPES Registry Identity

NPI1124547146
Entity TypeOrganization
Primary Taxonomy3747A0650X
Legal Business NameGOOD SAMARITAN SUPPORTED LIVING, LLC
Location Address616 MAWYER DRColumbus, OH 43085-5403
Mailing Address616 Mawyer DrColumbus, OH 43085-5403
Phone(614) 893-0579
Organization SubpartNo
Authorized OfficialMaria Theresa Yebra VillanuevaRn Manager · (614) 893-0579
Enumeration DateSeptember 11, 2017
✔ NPI 1124547146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyTechnician · Attendant Care ProviderNursing Service Related Providers
Taxonomy Code3747A0650X
Definition
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 318641 (OH)
Also ListedLicensed Practical NurseTaxonomy 164W00000X
Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X
Also ListedHome Health AideTaxonomy 374U00000X
616 MAWYER DR, Columbus, OH 43085
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARIA THERESA YEBRA VILLANUEVA RN
Registered Nurse (General Practice)
616 MAWYER DR
COLUMBUS, OH 43085
Franklin County (614) 893-0579

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Good Samaritan Supported Living, LLC's NPI number?

The NPI number for Good Samaritan Supported Living, LLC is 1124547146. It was assigned to this organization in the NPPES registry on September 11, 2017.

Where is Good Samaritan Supported Living, LLC located?

Good Samaritan Supported Living, LLC is located at 616 Mawyer Dr, Columbus, OH 43085. The listed phone number is (614) 893-0579.

What is Good Samaritan Supported Living, LLC's specialty?

The primary specialty registered for this NPI is Technician, specializing in Attendant Care Provider, with taxonomy code 3747A0650X.

When was this NPI record last updated?

The NPPES record for Good Samaritan Supported Living, LLC was last updated on September 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.