Organization Active NPI

Salem Home Health Care LLC

  • Home Health Aide
  • Jacksonville, FL
National Provider Identifier
1740964774
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
SALEM HOME HEALTH CARE LLC
Practice address
2640 Sir Galahad Dr
Jacksonville, FL 32254-6208
Phone
(904) 518-2889
NPI assigned
Jun 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
Andrea Smith-Robinson
Title
Partner
Phone
(904) 518-2889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

2640 Sir Galahad Dr
Jacksonville, FL 32254-6208

Mailing address

2640 Sir Galahad Dr
Jacksonville, FL 32254-6208
Phone (904) 518-2889

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1740964774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 SIR GALAHAD DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322546208",
            "telephone_number": "904-518-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 SIR GALAHAD DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322546208",
            "telephone_number": "904-518-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-10",
        "status": "A",
        "authorized_official_last_name": "SMITH-ROBINSON",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "904-518-2889"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

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