Provider Demographics
NPI:1235940107
Name:SAMARITAN HOUSES INC.
Entity type:Organization
Organization Name:SAMARITAN HOUSES INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:S
Authorized Official - Last Name:GOLDFADEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMSW CAC-AD
Authorized Official - Phone:410-991-3292
Mailing Address - Street 1:2610 GREENBRIAR LN BLDG 2
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-4424
Mailing Address - Country:US
Mailing Address - Phone:410-991-3292
Mailing Address - Fax:
Practice Address - Street 1:2610 GREENBRIAR LN BLDG 2
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-4424
Practice Address - Country:US
Practice Address - Phone:410-991-3292
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAMARITAN HOUSES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-18
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility