Provider Demographics
NPI:1982190427
Name:SALVATION CARE
Entity Type:Organization
Organization Name:SALVATION CARE
Other - Org Name:SALVATION CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JASMINE
Authorized Official - Middle Name:SIERRA
Authorized Official - Last Name:TUBBS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-709-0113
Mailing Address - Street 1:155 W 4TH ST APT B
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44903-1671
Mailing Address - Country:US
Mailing Address - Phone:419-709-0113
Mailing Address - Fax:
Practice Address - Street 1:155 W 4TH ST APT B
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44903-1671
Practice Address - Country:US
Practice Address - Phone:419-709-0113
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-09
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health