Provider Demographics
NPI:1003381237
Name:SALEM HOME HEALTH, LLC
Entity Type:Organization
Organization Name:SALEM HOME HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:COLGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-429-7900
Mailing Address - Street 1:310 WOODSTOWN ROAD
Mailing Address - Street 2:2ND FLOOR, 2 EAST
Mailing Address - City:SALEM
Mailing Address - State:NJ
Mailing Address - Zip Code:08079
Mailing Address - Country:US
Mailing Address - Phone:856-678-8500
Mailing Address - Fax:856-678-5180
Practice Address - Street 1:310 WOODSTOWN ROAD
Practice Address - Street 2:2ND FLOOR, 2 EAST
Practice Address - City:SALEM
Practice Address - State:NJ
Practice Address - Zip Code:08079-2064
Practice Address - Country:US
Practice Address - Phone:856-935-1000
Practice Address - Fax:856-935-3175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-03
Last Update Date:2020-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health