Good Samaritan Care Provider LLC
NPI 1114323136ActiveOrganization· Skilled Nursing Facility· Stockton, CA
Skilled Nursing Facility in Stockton, California, registered in NPPES in November 2014. The authorized official on file is Praxedes Bernardo Demesa, NHA, President/Managng Member.
Overview
| NPI | 1114323136 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 19, 2014 |
| Last updated in NPPES | Nov 19, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Skilled Nursing Facility Primary | 314000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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