# SAMARITAN HEALTHCARE, LLC

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

## Provider details

- **NPI number:** 1659527778
- **Authorized official:** MR. SIDDIQ AHMED (ADMINISTRATOR)
- **Authorized official phone:** (847) 877-5808

## Contact information

- **Practice address:** 1585 ELLINWOOD AVE STE L19, DES PLAINES, IL 60016-4540
- **Practice address phone:** (847) 376-8524
- **Practice address fax:** (847) 813-6471
- **Mailing address:** 2340 S RIVER RD, SUITE 109, DES PLAINES, IL 60018-3222
- **Mailing address phone:** (847) 357-9410
- **Mailing address fax:** (847) 357-9437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1010895 | IL | Yes |

## Other

- **Enumeration date:** 08/08/2008
- **Last updated:** 04/02/2019