Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Good Samaritan Supported Living, LLC

Organization Registered Nurse · NPI 1124547146

Good Samaritan Supported Living, LLC is a Registered Nurse in Columbus, Ohio. Licensed in Ohio. Registered with an NPI since 2017.

Licensed in
OH
In the registry since
2017
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

616 Mawyer Dr
Columbus, OH 43085-5403
Phone: (614) 893-0579
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Attendant Care Provider (primary) Taxonomy 3747A0650X
Registered Nurse Taxonomy 163W00000X · Licence 318641 (OH)
Registered Nurse Taxonomy 163W00000X
Licensed Practical Nurse Taxonomy 164W00000X
Personal Care Attendant Taxonomy 3747P1801X
Home Health Aide Taxonomy 374U00000X

Record details

NPI number1124547146
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Theresa Villanueva — Rn Manager · (614) 893-0579
NPI enumeratedSeptember 11, 2017
Last updated in NPPESSeptember 11, 2017
Mailing address616 Mawyer Dr, Columbus, OH 43085-5403

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