# SAMARITAN SENIOR CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255023222
- **Authorized official:** JOHN BAGENDA (AGENCY DIRECTOR)
- **Authorized official phone:** (630) 877-8207

## Contact information

- **Practice address:** 18W140 BUTTERFIELD RD FL 15, OAKBROOK TERRACE, IL 60181-4843
- **Practice address phone:** (613) 613-7788
- **Practice address fax:** (630) 613-7787
- **Mailing address:** 24131 DOUGLAS DR, PLAINFIELD, IL 60585-8433

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |

## Other

- **Enumeration date:** 05/25/2023
- **Last updated:** 08/12/2024
