Organization Active NPI

Salam Home Care Agency LLC

  • In Home Supportive Care Agency
  • Fort Wayne, IN
National Provider Identifier
1528836731
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SALAM HOME CARE AGENCY LLC
Practice address
4202 Warsaw St
Fort Wayne, IN 46806-1842
Phone
(260) 206-7929
NPI assigned
Dec 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Authorized official

Name
Khin Htway Thaw, MA
Title
Manager
Phone
(260) 206-7929

Specialties & licenses 1

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

Addresses

Primary practice location

4202 Warsaw St
Fort Wayne, IN 46806-1842

Mailing address

7631 Gathings Dr
Fort Wayne, IN 46816-2756
Phone (260) 206-7929

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1702857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702857600000",
    "number": "1528836731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7631 GATHINGS DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468162756",
            "telephone_number": "260-206-7929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4202 WARSAW ST",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468061842",
            "telephone_number": "260-206-7929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALAM HOME CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A",
        "authorized_official_last_name": "THAW",
        "authorized_official_first_name": "KHIN",
        "authorized_official_middle_name": "HTWAY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "260-206-7929",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2023; 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.