GOOD SAMARITAN CLINIC OF WEST VOLUSIA, INC.
NPI 1730632225
Nursing Care in Deland, FL

Active since August 01, 2016
136 E PLYMOUTH AVE, DELAND, FL 32724(138) 673-8699 Get Directions Write a Review

NPPES record last updated: August 1, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Good Samaritan Clinic Of West Volusia, Inc. NPPES

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

GOOD SAMARITAN CLINIC OF WEST VOLUSIA, INC. (NPI 1730632225) is a healthcare organization registered as a nursing care in Deland, Florida and active in the NPI registry since August 2016. The organization lists Dr. Lyle Wadsworth, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1730632225
Entity TypeOrganization
Primary Taxonomy251J00000X
Legal Business NameGOOD SAMARITAN CLINIC OF WEST VOLUSIA, INC.
Location Address136 E PLYMOUTH AVEDeland, FL 32724-2871
Mailing Address136 E Plymouth AveDeland, FL 32724-2871 · (138) 673-8699
Organization SubpartNo
Authorized OfficialDr. Lyle WadsworthMedical Director · 13867386990
Enumeration DateAugust 1, 2016
NPI 1730632225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNursing CareAgencies
Taxonomy Code251J00000X
License Licensed in FL · ARNP 694272
Definition
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.
136 E PLYMOUTH AVE, Deland, FL 32724

Other Providers at the Same Location NPPES 2

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

Registered Nurse
136 E PLYMOUTH AVE
DELAND, FL 32724
Pediatrics
136 E PLYMOUTH AVE
DELAND, FL 32724

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 Clinic Of West Volusia, Inc.'s NPI number?

The NPI number for Good Samaritan Clinic Of West Volusia, Inc. is 1730632225. It was assigned to this organization in the NPPES registry on August 1, 2016.

Where is Good Samaritan Clinic Of West Volusia, Inc. located?

Good Samaritan Clinic Of West Volusia, Inc. is located at 136 E Plymouth Ave, Deland, FL 32724. The listed phone number is (138) 673-8699.

What is Good Samaritan Clinic Of West Volusia, Inc.'s specialty?

The primary specialty registered for this NPI is Nursing Care with taxonomy code 251J00000X.

When was this NPI record last updated?

The NPPES record for Good Samaritan Clinic Of West Volusia, Inc. was last updated on August 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.