Healthcare Provider Details

I. General information

NPI: 1356321756
Provider Name (Legal Business Name): SALCARE HOME HEALTH SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2006
Last Update Date: 11/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1156 W 127TH ST
LOS ANGELES CA
90044-1020
US

IV. Provider business mailing address

1159 W EL SEGUNDO BLVD
GARDENA CA
90247-1603
US

V. Phone/Fax

Practice location:
  • Phone: 323-777-9339
  • Fax: 323-777-9361
Mailing address:
  • Phone: 323-777-9339
  • Fax: 323-777-9361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: SALLY OKEKE
Title or Position: CEO/ADMINISTRATOR
Credential: RN, MN
Phone: 323-777-9339