Healthcare Provider Details

I. General information

NPI: 1104783620
Provider Name (Legal Business Name): SALVATION HOME HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5432 S MICHIGAN AVE UNIT 3 UNIT 3
CHICAGO IL
60615-6058
US

IV. Provider business mailing address

5432 S MICHIGAN AVE UNIT 3
CHICAGO IL
60615-6058
US

V. Phone/Fax

Practice location:
  • Phone: 224-463-8227
  • Fax: 224-650-3400
Mailing address:
  • Phone: 224-463-8227
  • Fax: 224-650-3400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: RANSOM NJEI
Title or Position: ADMINISTRATOR
Credential: MR.
Phone: 224-463-8227