Provider Demographics
NPI:1104582691
Name:SAMARITAN HOSPICE INC
Entity type:Organization
Organization Name:SAMARITAN HOSPICE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MENANDRO
Authorized Official - Middle Name:V
Authorized Official - Last Name:REYES
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:602-922-8233
Mailing Address - Street 1:14354 N FRANK LLOYD WRIGHT BLVD STE 3
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-8844
Mailing Address - Country:US
Mailing Address - Phone:602-922-8233
Mailing Address - Fax:602-926-2297
Practice Address - Street 1:14354 N FRANK LLOYD WRIGHT BLVD STE 3
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-8844
Practice Address - Country:US
Practice Address - Phone:602-922-8233
Practice Address - Fax:602-926-2297
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-10
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based