| Organization Name: | GOOD SAMARITAN HOME COMPANION SERVICES, INC. |
| NPI Number: | 1194089243 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS FIELD BREWER (PRESIDENT) |
| Mailing Address: | 3689 Main Street Middleburg |
| State: | FL US |
| Postal Code: | 32068 |
| Phone Number: | 9042155900 |
| Fax Number: | 9042155980 |
| NPI Enumeration Date: | 07/03/2012 |
| NPI Last Update Date: | 07/03/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 230249 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |