Salem Home Care Agency, LLC

Primary specialty

Custodial Care FacilityTaxonomy code 311Z00000X

License

120124000198 Issued in NY

Legal business name

SALEM HOME CARE AGENCY, LLC

Practice address

220 Hillside Ave
Valley Stream, NY 11580-2517

Phone

(516) 476-1475

NPI assigned

Jun 21, 2012

Organization subpart

Yes

Parent organization

SALEM HOME CARE AGENCY, LLCAs reported in NPPES

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

Authorized official

Name

Mrs. Marie Gustave, RN

Title

Ceo

Phone

(347) 471-4707

Specialties & licenses 1

Addresses

Part of

Salem Home Care Agency LLC

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1265795454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HILLSIDE AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802517",
            "telephone_number": "516-451-9426",
            "fax_number": "516-887-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 HILLSIDE AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115802517",
            "telephone_number": "516-476-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM HOME CARE AGENCY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SALEM HOME CARE AGENCY, LLC",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "GUSTAVE",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "347-471-4707",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311Z00000X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility",
            "state": "NY",
            "license": "120124000198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edhny Saintanasse
• Freda Sajous Joseph, OCCUPATIONAL THERAPY
• Olga Vanessa Salazar, RN
• Christian Salcedo
• Nourhan Saleh
• Joicy Salgado, LMHC
• Joan S Salmon, LCSW
• Robin Samers
• Kristine Mae Samonte
• Eleanor Sams-Hurdle

• Custodial Care Facility in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Custodial Care Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; 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.