NPIMap

Organization Active NPI

Salem Christian Homes, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Costa Mesa, CA
National Provider Identifier
1922840644
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
SALEM CHRISTIAN HOMES, INC.
Practice address
2520 Mark LN
Costa Mesa, CA 92626-6701
Phone
(714) 321-8860
NPI assigned
Jun 12, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Authorized official

Name
Shelly Dawson
Title
Qa Director
Phone
(714) 321-8860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

2520 Mark LN
Costa Mesa, CA 92626-6701

Mailing address

6921 Edison Ave
Chino, CA 91710-9058
Phone (714) 321-8860

Other names 1

  • MESA HOME Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G821

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
MESA HOME
Certification status
Active
Provider type (POS)
Intermediate care facility for individuals with intellectual disabilities
Participating since
Feb 20, 2025
Last certification
Feb 20, 2025
Beds
6
Ownership / control type
Private (non-profit)
Facility address
2520 Mark LN
Costa Mesa, CA 92626

National Provider Directory

National Provider Directory
Tax ID family
Salem Christian Homes Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6921 Edison Ave
Chino, CA 91710

NPI Registry JSON

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743120000000",
    "number": "1922840644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6921 EDISON AVE",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917109058",
            "telephone_number": "714-321-8860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 MARK LN",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926266701",
            "telephone_number": "714-321-8860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALEM CHRISTIAN HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_title_or_position": "QA DIRECTOR",
        "authorized_official_telephone_number": "714-321-8860"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MESA HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

Verify at the official NPI Registry.