Provider Demographics
NPI:1174514921
Name:SAMARITAN RESPIRATORY CARE, LLC
Entity type:Organization
Organization Name:SAMARITAN RESPIRATORY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED RESPIRATORY THERAPISTS
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:W
Authorized Official - Last Name:PIERCE
Authorized Official - Suffix:
Authorized Official - Credentials:CRT
Authorized Official - Phone:828-884-5586
Mailing Address - Street 1:474 NEW HENDERSONVILLE HWY
Mailing Address - Street 2:
Mailing Address - City:PISGAH FOREST
Mailing Address - State:NC
Mailing Address - Zip Code:28768-9747
Mailing Address - Country:US
Mailing Address - Phone:828-884-5586
Mailing Address - Fax:828-884-5578
Practice Address - Street 1:474 NEW HENDERSONVILLE HWY
Practice Address - Street 2:
Practice Address - City:PISGAH FOREST
Practice Address - State:NC
Practice Address - Zip Code:28768-9747
Practice Address - Country:US
Practice Address - Phone:828-884-5586
Practice Address - Fax:828-884-5578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3614332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7703583Medicaid
NC4301560001Medicare ID - Type Unspecified