NPIMap

Organization Active NPI

Salem Christian Homes, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Chino, CA
National Provider Identifier
1487956793
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
SALEM CHRISTIAN HOMES, INC.
Practice address
12549 Jacaranda PL
Chino, CA 91710-3633
Phone
(919) 614-0575
Fax
(909) 614-0594
NPI assigned
Nov 19, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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

Authorized official

Name
Shelly Dawson
Title
Qa Director
Phone
(714) 321-8860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X CA Primary

Addresses

Primary practice location

12549 Jacaranda PL
Chino, CA 91710-3633

Mailing address

6921 Edison Ave
Chino, CA 91710-9057
Phone (919) 614-0575

Other names 1

  • Jacaranda Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Salem Christian Homes Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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

NPI Registry JSON

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718150400000",
    "number": "1487956793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6921 EDISON AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917109057",
            "telephone_number": "919-614-0575",
            "fax_number": "909-614-0594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12549 JACARANDA PL",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917103633",
            "telephone_number": "919-614-0575",
            "fax_number": "909-614-0594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM CHRISTIAN HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-19",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "QA DIRECTOR",
        "authorized_official_telephone_number": "714-321-8860"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacaranda Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chino, CA

Sources for this page

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