NPIMap

Organization Active NPI

Salmon Home Care, LLC

  • Community Based Hospice Care Agency
  • Milford, MA
National Provider Identifier
1629336318
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
7ST7 Issued in MA
Legal business name
SALMON HOME CARE, LLC
Practice address
37 Birch St
Milford, MA 01757-5501
Phone
(508) 898-3490
Fax
(508) 898-1805
NPI assigned
May 1, 2012
Last updated
Aug 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Authorized official

Name
Gary Sacon
Title
Cfo
Phone
(508) 898-3490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 7ST7 MA Primary

Addresses

Primary practice location

37 Birch St
Milford, MA 01757-5501

Mailing address

37 Birch St
Milford, MA 01757-5501
Phone (508) 898-3490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160119001468 MA Part A Provider - Hospice 3870757248 Practice locations: Milford, MA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1629336318. Details of each certification follow.

Hospice certification: CCN 221590

Legal name
SALMON HOME CARE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 16, 2009
Last certification
Sep 1, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Enrollment address
37 Birch St
Milford, MA 01757-5501

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Vna & Hospice of Greater MilfordCCN 221590 · All quality measures
Ownership
For-Profit
Certified
Dec 16, 2009
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Dorothy C Salmon Individual 5% Or Greater Direct Ownership Interest Aug 1, 2012 50%
Sheryl Duclos-Zagame Individual W-2 Managing EmployeeDirector of Clinical Services Mar 1, 2022 75%
Michele Gannon Individual Corporate OfficerChief Operating Officer Mar 6, 2022 10%
Matthew Salmon Individual Corporate OfficerChief Executive Officer Jan 1, 2022 80%
Daniel J Salmon Individual 5% Or Greater Direct Ownership Interest Aug 1, 2012 50%

Practitioners & affiliated clinicians

Practitioners 3

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.

Affiliated clinicians 11

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1629336318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 BIRCH ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017575501",
            "telephone_number": "508-898-3490",
            "fax_number": "508-898-1805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 BIRCH ST",
            "city": "MILFORD",
            "state": "MA",
            "postal_code": "017575501",
            "telephone_number": "508-898-3490",
            "fax_number": "508-898-1805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALMON HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-01",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "SACON",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "508-898-3490"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "MA",
            "license": "7ST7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, MA

Sources for this page

Verify at the official NPI Registry.