Active NPI
Salud Home Health Inc.
- Home Health Agency
- Laredo, TX
National Provider Identifier
1124119722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- SALUD HOME HEALTH INC.
- Practice address
- 2920 S Malinche Ave
Laredo, TX 78046 - Phone
- (956) 718-9987
- Fax
- (956) 753-5677
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Tiburcio Rivera, RN
- Title
- Director of Nurses
- Phone
- (956) 718-9987
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 009982 | TX | |
| Home Health Agency | 251E00000X | Primary | ||
| Nursing Care Agency | 251J00000X | |||
| In Home Supportive Care Agency | 253Z00000X | |||
| Clinical Medical Laboratory | 291U00000X | |||
| Personal Care Attendant | 3747P1801X | |||
| Respite Care | 385H00000X |
Addresses
Primary practice location
2920 S Malinche Ave
Laredo, TX 78046
Mailing address
2920 S Malinche Ave
Laredo, TX 78046-7173
Phone (956) 718-9987
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20051128000808 | TX | Part A Provider - Home Health Agency | 7911927520 | Practice locations: Laredo, TX |
Home health agency certification: CCN 679541
- Legal name
- SALUD HOME HEALTH INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Aug 25, 2006
- Last certification
- Mar 7, 2018
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Apr 19, 2005 in TX
- Enrollment address
- 2920 South Malinche
Laredo, TX 78046-7173
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Salud Home Health, Inc.
- Ownership
- Proprietary
- Certified
- Aug 25, 2006
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D1048181 | Salud Home Health Inc | Certificate of waiver | Nov 21, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Miguel Gallegos | 5% Or Greater Direct Ownership Interest | Apr 27, 2005 | |
| Luis Gallegos | W-2 Managing Employee | Apr 27, 2005 | |
| Tiburcio Rivera | 5% Or Greater Direct Ownership Interest | Apr 27, 2005 | |
| W-2 Managing Employee | Apr 27, 2005 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643760000000",
"number": "1124119722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 S MALINCHE AVE",
"city": "LAREDO",
"state": "TX",
"postal_code": "780467173",
"telephone_number": "956-718-9987",
"fax_number": "956-753-5677"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 S MALINCHE AVE",
"city": "LAREDO",
"state": "TX",
"postal_code": "78046",
"telephone_number": "956-718-9987",
"fax_number": "956-753-5677"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALUD HOME HEALTH INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A",
"authorized_official_last_name": "RIVERA",
"authorized_official_first_name": "TIBURCIO",
"authorized_official_title_or_position": "DIRECTOR OF NURSES",
"authorized_official_telephone_number": "956-718-9987",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": "009982",
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.