Organization Active NPI

Salcare Home Health Services, Inc

  • Home Health Agency
  • Paramount, CA
National Provider Identifier
1336129493
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
980001003 Issued in CA
Legal business name
SALCARE HOME HEALTH SERVICES, INC
Practice address
15607 Lakewood Blvd Ste a
Paramount, CA 90723-4691
Phone
(323) 777-9339
Fax
(323) 777-9361
NPI assigned
Jan 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Authorized official

Name
Mrs. Sally Okeke, RN, MNNPI 1487262879
Title
Ceo/Administrator
Phone
(323) 777-9339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 980001003 CA Primary

Addresses

Primary practice location

15607 Lakewood Blvd Ste a
Paramount, CA 90723-4691

Mailing address

15607 Lakewood Blvd Ste a
Paramount, CA 90723-4691
Phone (323) 777-9339

Other identifiers 1

IdentifierTypeStateIssuer
HHA57681IMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040828000266 CA Part A Provider - Home Health Agency 3173598695 Practice locations: Paramount, CA

Home health agency certification: CCN 557681

Legal name
SALCARE HOME HEALTH SERVICES, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 11, 1996
Last certification
Oct 26, 2017
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Apr 27, 1999 in CA
Enrollment address
15607 Lakewood Blvd a
Paramount, CA 90723-4691

Care Compare: Home health agency

Medicare Care Compare
Listed as
Salcare Home Health ServicesCCN 557681 · All quality measures
Ownership
Proprietary
Certified
Mar 11, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0941155Salcare Home Health Services Inc15607 Lakewood Blvd, Ste a, Paramount, CA 90723Certificate of waiverMar 2, 2027

National Provider Directory

National Provider Directory
Tax ID family
Salcare Home Health Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1159 W El Segundo Blvd
Gardena, CA 90247
Phone (323) 777-9339

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Sally C Okeke Individual 5% Or Greater Direct Ownership InterestCeo Apr 23, 1999 100%
Corporate OfficerCeo Apr 27, 1999 100%
Corporate DirectorAdministrator/Don Aug 31, 2004 100%
W-2 Managing EmployeeAdministrator/Don Apr 23, 1999 100%

Practitioners & affiliated clinicians

Practitioners 1

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": "1137456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616630400000",
    "number": "1336129493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15607 LAKEWOOD BLVD STE A",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907234691",
            "telephone_number": "323-777-9339",
            "fax_number": "323-777-9361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15607 LAKEWOOD BLVD STE A",
            "city": "PARAMOUNT",
            "state": "CA",
            "postal_code": "907234691",
            "telephone_number": "323-777-9339",
            "fax_number": "323-777-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALCARE HOME HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-17",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "OKEKE",
        "authorized_official_first_name": "SALLY",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "323-777-9339",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, MN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "980001003",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HHA57681I",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramount, CA

Sources for this page

Verify at the official NPI Registry.