Active NPI
Salem Home Care Services LLC
- Community Based Hospice Care Agency
- Salem, NJ
National Provider Identifier
1649259292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 22761
- Legal business name
- SALEM HOME CARE SERVICES LLC
- Practice address
- 310 Salem Woodstown Rd
2ND Floor, 2 East
Salem, NJ 08079-2064 - Phone
- (856) 678-8500
- Fax
- (856) 678-5180
- NPI assigned
- Jan 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Laurie Holtsford
- Title
- Sr.Director Business Office Support
- Phone
- (615) 465-7466
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 22761 | NJ | Primary |
Addresses
Primary practice location
310 Salem Woodstown Rd
2ND Floor, 2 East
Salem, NJ 08079-2064
Mailing address
310 Salem Woodstown Rd
2ND Floor, 2 East
Salem, NJ 08079-2064
Phone (856) 678-8500
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002956 | Other | NJ | AMERIHEALTH |
| 9035605 | Medicaid | NJ | |
| 68551 | Other | NJ | AETNA US HEALTHCARE |
| 4475116 | Other | NJ | AETNA DUPONT |
Other names 1
- Memorial Hospice
National Provider Directory
National Provider DirectoryLocations
390 N Broadway
Pennsville, NJ 08070
Phone (856) 678-6411
212 N Broadway
#49
Pennsville, NJ 08070
Phone (856) 678-6133
4 Bypass Rd
Ste 103B
Salem, NJ 08079
Phone (856) 878-0294
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137024000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1424822400000",
"number": "1649259292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 SALEM WOODSTOWN RD",
"address_2": "2ND FLOOR, 2 EAST",
"city": "SALEM",
"state": "NJ",
"postal_code": "080792064",
"telephone_number": "856-678-8500",
"fax_number": "856-678-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 SALEM WOODSTOWN RD",
"address_2": "2ND FLOOR, 2 EAST",
"city": "SALEM",
"state": "NJ",
"postal_code": "080792064",
"telephone_number": "856-678-8500",
"fax_number": "856-678-5180"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SALEM HOME CARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-12",
"last_updated": "2015-02-25",
"status": "A",
"authorized_official_last_name": "HOLTSFORD",
"authorized_official_first_name": "LAURIE",
"authorized_official_title_or_position": "SR.DIRECTOR BUSINESS OFFICE SUPPORT",
"authorized_official_telephone_number": "615-465-7466",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "NJ",
"license": "22761",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "002956",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9035605",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "68551",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA DUPONT",
"identifier": "4475116",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Memorial Hospice",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Salem, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.