Provider Demographics
NPI:1083428304
Name:SAMSON HEALTHCARE, LLC
Entity type:Organization
Organization Name:SAMSON HEALTHCARE, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEKSANDAR
Authorized Official - Middle Name:
Authorized Official - Last Name:BOGDANOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:310-987-0863
Mailing Address - Street 1:2605 WOODS ESTATES DR
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-4873
Mailing Address - Country:US
Mailing Address - Phone:936-339-2373
Mailing Address - Fax:936-249-0318
Practice Address - Street 1:3421 W DAVIS ST STE 150
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-1848
Practice Address - Country:US
Practice Address - Phone:936-339-2373
Practice Address - Fax:936-249-0318
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-05
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251G00000XAgenciesHospice Care, Community Based
No163WH1000XNursing Service ProvidersRegistered NurseHospiceGroup - Single Specialty