Organization Active NPI

Salem Home Care Services LLC

  • Home Health Agency
  • Salem, NJ
National Provider Identifier
1235118944
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
11702 Issued in NJ
Legal business name
SALEM HOME CARE SERVICES LLC
Practice address
310 Salem Woodstown Rd
2ND Floor, 2 East
Salem, NJ 08079-2064
Phone
(856) 678-8500
Fax
(856) 678-5180
NPI assigned
Jan 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Authorized official

Name
Ms. Laurie Holtsford
Title
Director Business Office Support
Phone
(615) 465-7466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 11702 NJ Primary

Addresses

Primary practice location

310 Salem Woodstown Rd
2ND Floor, 2 East
Salem, NJ 08079-2064

Mailing address

310 Salem Woodstown Rd
2ND Floor, 2 East
Salem, NJ 08079-2064
Phone (856) 678-8500

Other identifiers 9

IdentifierTypeStateIssuer
0009913000OtherNJAMERIHEALTH
1084086OtherNJNJ HEALTH
5855482OtherNJAETNA NON-HMO
9036008MedicaidNJ
3067511OtherNJAETNA
9035702OtherNJCCPED
347720201OtherNJUS DEPT OF LABOR
SA000000802OtherNJAMERICHOICE
2K2051OtherNJACS HEALTH NET

Other names 1

  • Memorial Home Health Doing business as

National Provider Directory

National Provider Directory

Locations

390 N Broadway
Ste 900
Pennsville, NJ 08070
Phone (856) 678-8500

310 Salem Woodstown Rd
Fl 2
Salem, NJ 08079
Phone (856) 678-8500

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424822400000",
    "number": "1235118944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 SALEM WOODSTOWN RD",
            "address_2": "2ND FLOOR, 2 EAST",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "080792064",
            "telephone_number": "856-678-8500",
            "fax_number": "856-678-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 SALEM WOODSTOWN RD",
            "address_2": "2ND FLOOR, 2 EAST",
            "city": "SALEM",
            "state": "NJ",
            "postal_code": "080792064",
            "telephone_number": "856-678-8500",
            "fax_number": "856-678-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2015-02-25",
        "status": "A",
        "authorized_official_last_name": "HOLTSFORD",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "DIRECTOR BUSINESS OFFICE SUPPORT",
        "authorized_official_telephone_number": "615-465-7466",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "11702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "0009913000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ HEALTH",
            "identifier": "1084086",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA NON-HMO",
            "identifier": "5855482",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9036008",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3067511",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCPED",
            "identifier": "9035702",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "347720201",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "SA000000802",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS HEALTH NET",
            "identifier": "2K2051",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Memorial Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salem, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.