Organization Active NPI

Salmon Home Care, LLC

  • Home Health Agency
  • Milford, MA
National Provider Identifier
1124386255
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
SALMON HOME CARE, LLC
Practice address
37 Birch St
Milford, MA 01757-5501
Phone
(508) 898-3490
Fax
(508) 898-1805
NPI assigned
Apr 26, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Gary Sacon
Title
Cfo
Phone
(508) 898-3490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

37 Birch St
Milford, MA 01757-5501

Mailing address

37 Birch St
Milford, MA 01757-5501
Phone (508) 898-3490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120614000674 MA Part A Provider - Home Health Agency 3870757248 Practice locations: Milford, MA
O20161201001665 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3870757248 Receives reassigned benefits from 2 practitioners
Practice locations: Milford, MA

Home health agency certification: CCN 227063A

Legal name
SALMON HOME CARE LLC
Organization structure
LLCProprietary
Incorporated
Aug 9, 2011 in MA
Enrollment address
37 Birch Street
Milford, MA 01757-5501

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Dorothy C Salmon Individual 5% Or Greater Direct Ownership Interest Jun 1, 2012 50%
Sheryl Duclos-Zagame Individual W-2 Managing EmployeeDirector of Clinical Services Mar 13, 2022
Michele Gannon Individual Corporate OfficerChief Operating Officer Mar 6, 2022 10%
Matthew Salmon Individual Corporate Officer Dec 15, 2021
Daniel J Salmon Individual 5% Or Greater Direct Ownership Interest Jun 1, 2012 50%

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1124386255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 BIRCH ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017575501",
            "telephone_number": "508-898-3490",
            "fax_number": "508-898-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 BIRCH ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017575501",
            "telephone_number": "508-898-3490",
            "fax_number": "508-898-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALMON HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "SACON",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "508-898-3490"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

Verify at the official NPI Registry.