Organization Active NPI

Salvation Home Health Care LLC

  • In Home Supportive Care Agency
  • Brookhaven, PA
National Provider Identifier
1427669589
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SALVATION HOME HEALTH CARE LLC
Practice address
2810 Edgmont Ave Ste E
Brookhaven, PA 19015-3200
Phone
(610) 803-5179
NPI assigned
Aug 12, 2020
Last updated
Aug 12, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Authorized official

Name
Dyheim Watson Sr.
Title
Owner
Phone
(610) 803-5179

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

2810 Edgmont Ave Ste E
Brookhaven, PA 19015-3200

Mailing address

2810 Edgmont Ave Ste E
Brookhaven, PA 19015-3200
Phone (610) 803-5179

National Provider Directory

National Provider Directory

Locations

2810 Edgmont Ave
Ste E
Brookhaven, PA 19015
Phone (610) 803-5179

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1427669589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2810 EDGMONT AVE STE E",
            "city": "BROOKHAVEN",
            "state": "PA",
            "postal_code": "190153200",
            "telephone_number": "610-803-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2810 EDGMONT AVE STE E",
            "city": "BROOKHAVEN",
            "state": "PA",
            "postal_code": "190153200",
            "telephone_number": "610-803-5179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALVATION HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "DYHEIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "610-803-5179",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; 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.