San Gabriel Valley Homecare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

200620710080 Issued in CA

Legal business name

SAN GABRIEL VALLEY HOMECARE LLC

Doing business as

Salus Homecare

Practice address

133 N Altadena Dr
Suite 435
Pasadena, CA 91107-7325

Phone

(888) 725-8742

NPI assigned

Apr 17, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Mark Mortensen

Title

Manager

Phone

(888) 725-8742

Specialties & licenses 1

Addresses

Other names 1

• Salus Homecare Doing business as

Locations

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347408000000",
    "number": "1366616690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 ROOSEVELT",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926203621",
            "telephone_number": "888-725-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 N ALTADENA DR",
            "address_2": "SUITE 435",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911077325",
            "telephone_number": "888-725-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN GABRIEL VALLEY HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2012-09-12",
        "status": "A",
        "authorized_official_last_name": "MORTENSEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "888-725-8742",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "200620710080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salus Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tai Marie Samuels, NP
• Meri Samuelson, LCSW
• John San Felipe, PMHNP-BC
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• San Gabriel Valley Grief Resource and Training Center
• San Marino Gardens Wellness Center, LP
• San Marino Skilled Nursing and Wellness Centre
• San Roses Care Hospice Inc
• Robert Sanches
• Marian Quintero Sanchez Arvizu, BCBA

• Home Health Agency in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.