Salt of the Earth Behavioral LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

SALT OF THE EARTH BEHAVIORAL LLC

Practice address

14080 Graham Street
Moreno Valley, CA 92553

Phone

(909) 813-3545

NPI assigned

Aug 26, 2024

Organization subpart

No

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

Authorized official

Name

Judith DuranNPI 1720780596

Title

Clinical Director

Phone

(909) 813-3545

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Judith Duran

  • Behavior Technician
  • Riverside, CA
  • NPI 1720780596
  NPD Authorized official

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

{
    "created_epoch": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1457184376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 SQUAW VALLEY ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925456214",
            "telephone_number": "909-813-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14080 GRAHAM STREET",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "92553",
            "telephone_number": "909-813-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT OF THE EARTH BEHAVIORAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-25",
        "status": "A",
        "authorized_official_last_name": "DURAN",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "909-813-3545"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne Salgado
• Francisco Antonio Salinas, RN
• Sameh Said Sallam, BDS,DDS
• Sarah Sallam, RPH
• Mashonda Salsberry
• Jasmine Salvador
• William Salvatore, MFT
• Sam Khumooro Chiropractic Professinal Corporation
• Calli Samano
• Cameron James Samuel

• Home Health Agency in Moreno Valley, CA
• Providers in Moreno Valley, 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 Aug 26, 2024; 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.