Healthcare Provider Details

I. General information

NPI: 1881484517
Provider Name (Legal Business Name): SALCARE PRIVATE DUTY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/07/2025
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15607 LAKEWOOD BLVD STE A
PARAMOUNT CA
90723-4691
US

IV. Provider business mailing address

15607 LAKEWOOD BLVD STE A
PARAMOUNT CA
90723-4691
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 Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: SALLY C OKEKE
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 562-881-8022