Good Samaritan House of Granite City, Inc
NPI 1134612054 · Adolescent and Children Mental Health Clinic/Center · Granite City, IL
Good Samaritan House of Granite City, Inc is a Adolescent and Children Mental Health Clinic/Center organization in Granite City, IL (NPI 1134612054).
Provider details
- NPI number
- 1134612054
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Latosha Davis, Executive Director(618) 219-9513
- License
- 149.019998 (IL)
Specialties & taxonomies
Ambulatory Health Care Facilities
- Mental Health Clinic/Center (Including Community Mental Health Center)261QM0801XLicense 149.019998 (IL)
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
Registry dates
- Enumerated
- 2018-06-14
- Last updated
- 2018-06-14
Frequently asked questions
- What is Good Samaritan House of Granite City, Inc's NPI number?
- Good Samaritan House of Granite City, Inc's National Provider Identifier (NPI) is 1134612054, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Good Samaritan House of Granite City, Inc?
- Good Samaritan House of Granite City, Inc is classified in the NPPES registry as Adolescent and Children Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Good Samaritan House of Granite City, Inc located?
- Good Samaritan House of Granite City, Inc's practice location on file with NPPES is 1825 Delmar Ave, Granite City, IL 62040-4508.
- What is Good Samaritan House of Granite City, Inc's phone number?
- The practice phone number listed in the NPPES registry for Good Samaritan House of Granite City, Inc is (618) 876-0607.
- Who is the authorized official for Good Samaritan House of Granite City, Inc?
- The authorized official listed on Good Samaritan House of Granite City, Inc's NPPES record is Latosha Davis, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Good Samaritan House of Granite City, Inc's NPI active?
- Yes — Good Samaritan House of Granite City, Inc's NPI (1134612054) is active in the NPPES registry as of the last update on 2018-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.