Good Samaritan Care Provider LLC
NPI 1114323136 · Skilled Nursing Facility · Stockton, CA
Good Samaritan Care Provider LLC is a Skilled Nursing Facility organization in Stockton, CA (NPI 1114323136).
Provider details
- NPI number
- 1114323136
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Praxedes Demesa, President/Managng Member(209) 406-6610
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Four Seasons Care Center- Lodi
Registry dates
- Enumerated
- 2014-11-19
- Last updated
- 2014-11-19
Frequently asked questions
- What is Good Samaritan Care Provider LLC's NPI number?
- Good Samaritan Care Provider LLC's National Provider Identifier (NPI) is 1114323136, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Good Samaritan Care Provider LLC?
- Good Samaritan Care Provider LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Good Samaritan Care Provider LLC located?
- Good Samaritan Care Provider LLC's practice location on file with NPPES is 10740 Oakwilde Ave, Stockton, CA 95212-9249.
- What is Good Samaritan Care Provider LLC's phone number?
- The practice phone number listed in the NPPES registry for Good Samaritan Care Provider LLC is (209) 406-6610.
- Who is the authorized official for Good Samaritan Care Provider LLC?
- The authorized official listed on Good Samaritan Care Provider LLC's NPPES record is Praxedes Demesa, President/Managng Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Good Samaritan Care Provider LLC's NPI active?
- Yes — Good Samaritan Care Provider LLC's NPI (1114323136) is active in the NPPES registry as of the last update on 2014-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.