Provider Demographics
NPI:1356321756
Name:SALCARE HOME HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:SALCARE HOME HEALTH SERVICES, INC
Other - Org Name:SALCARE MEDICAL SUPPLIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SALLY
Authorized Official - Middle Name:
Authorized Official - Last Name:OKEKE
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MN
Authorized Official - Phone:323-777-9339
Mailing Address - Street 1:1159 W EL SEGUNDO BLVD
Mailing Address - Street 2:
Mailing Address - City:GARDENA
Mailing Address - State:CA
Mailing Address - Zip Code:90247-1603
Mailing Address - Country:US
Mailing Address - Phone:323-777-9339
Mailing Address - Fax:323-777-9361
Practice Address - Street 1:1156 W 127TH ST
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90044-1020
Practice Address - Country:US
Practice Address - Phone:323-777-9339
Practice Address - Fax:323-777-9361
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-20
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
CADME03113FMedicaid
CADME03113FMedicaid