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Salem Home Care Agency, LLC

NPI 1265795454ActiveOrganization· Custodial Care Facility· Valley Stream, NY

Custodial Care Facility in Valley Stream, New York, registered in NPPES in June 2012, part of Salem Home Care Agency, LLC. The authorized official on file is Marie Gustave, RN, Ceo.

Overview

NPI1265795454
StatusActive
Entity typeOrganization (subpart)
Parent organizationSalem Home Care Agency, LLC
NPI issuedJun 21, 2012
Last updated in NPPESJun 21, 2012

Specialties and licenses

TaxonomyCodeLicenseState
Custodial Care Facility Primary311Z00000X120124000198NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years