Organization Active NPI

Salem Home Care Services LLC

  • Community Based Hospice Care Agency
  • Salem, NJ
National Provider Identifier
1649259292
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
22761 Issued in NJ
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

Updated by the provider on Feb 25, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
002956OtherNJAMERIHEALTH
9035605MedicaidNJ
68551OtherNJAETNA US HEALTHCARE
4475116OtherNJAETNA DUPONT

Other names 1

  • Memorial Hospice Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.