MEDICARE: SALVATION HEALTHCARE SERVICES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	011922	TX
2	251E00000X	Home Health Agency	012789	TX
3	251E00000X	Home Health Agency	677997	TX

General Provider Information

NPI Number	:	1548275498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SALVATION HEALTHCARE SERVICES, INC.

Provider Business Mailing Address
First Line	:	11709 SHOAL LANDING ST
Second Line	:
City	:	PEARLAND
State	:	TX
Zip	:	77584-8758
Country	:	US
Telephone Number	:	346-445-2705
Fax Number	:	346-818-2092

Provider Business Practice Location Address
First Line	:	1225 25TH ST N STE 100E
Second Line	:
City	:	TEXAS CITY
State	:	TX
Zip	:	77590-5170
Country	:	US
Telephone Number	:	346-379-1541
Fax Number	:	346-818-2092

Authorized Official
Title or Position	:	CEO
Name	:	MR. CINDY I. MENSIK
Credential	:
Telephone Number	:	346-445-2705

Provider Enumeration Date	:	07/29/2006
Last Update Date	:	03/15/2024

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