Provider Demographics
NPI:1659543957
Name:SALUS HOME HEALTH AND HOSPICE, INC.
Entity Type:Organization
Organization Name:SALUS HOME HEALTH AND HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:MORTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-725-8742
Mailing Address - Street 1:630 ROOSEVELT
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92620-3621
Mailing Address - Country:US
Mailing Address - Phone:888-725-8742
Mailing Address - Fax:949-390-7409
Practice Address - Street 1:630 ROOSEVELT STE A
Practice Address - Street 2:
Practice Address - City:IRVINE
Practice Address - State:CA
Practice Address - Zip Code:92620-3621
Practice Address - Country:US
Practice Address - Phone:888-725-8742
Practice Address - Fax:949-390-7409
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-26
Last Update Date:2021-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health