Salem Christian Homes, INC.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Chino, CA. Organization (NPI-2).
NPI number1487956793
StatusActive
Last updated in NPPESJun 12, 2024
Details
- NPI
- 1487956793
- Entity type
- Organization (NPI-2)
- Legal business name
- Salem Christian Homes, INC.
- Organization subpart
- No
- Enumeration date
- Nov 19, 2010
- Certification date
- Jun 12, 2024
- Last updated
- Jun 12, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | CA | Yes |
Other names
- Jacaranda Home (Doing Business As)
Practice location
12549 Jacaranda PlChino, CA 91710-3633
Phone 919-614-0575 · Fax 909-614-0594
Mailing address
6921 Edison AveChino, CA 91710-9057
Phone 919-614-0575 · Fax 909-614-0594
Authorized official
Shelly Dawson
Qa Director
7143218860
Is something wrong?
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