SALUS HOMECARE
NPI 1245404573
In Home Supportive Care in Irvine, CA

Active since April 17, 2008CLIA 05D1047132 · Waiver
630 ROOSEVELT, IRVINE, CA 92620(949) 390-7308 Get Directions Write a Review

NPPES record last updated: September 18, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • In Home Supportive Care
  • CLIA Number: 05D1047132
  • CLIA Cert. Type: Home Health Agency
  • CLIA Exp. Date: 09-10-2026

About SALUS HOMECARE

This page provides the complete NPI Profile along with additional information for Salus Homecare, a provider established in Irvine, California operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1245404573 assigned on April 2008. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The provider's is doing business as Salus Homecare. The authorized official of this NPI record is Mr. Mark A Mortensen (Manager)

NPI
1245404573 Verify this NPI
Provider Legal Name
ORANGE COUNTY HOMECARE LLC
Other Organization Name
SALUS HOMECARE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
630 ROOSEVELT IRVINE, CA 92620
Location Phone
(949) 390-7308
Mailing Address
630 ROOSEVELT IRVINE, CA 92620
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-17-2008
Last Update Date
09-18-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
Taxonomy Description
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1251E00000XAgencies

Home Health

200606310208 (CA)

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MARK A MORTENSEN

Authorized Official Title
MANAGER
Authorized Official Phone
(949) 390-7308

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D1047132
Facility Type
Home Health Agency
Certificate Effective Date
September 11, 2024
Certificate Expiration Date
September 10, 2026
Laboratory Director
KASRA MORSHEDIZADEH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Salus Homecare to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SALUS HOMECARE

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Other Providers at the Same Location


The following 5 providers are registered at the same or a nearby location.

Home Health
630 ROOSEVELT
IRVINE, CA 92620
Home Health
630 ROOSEVELT
IRVINE, CA 92620
Nurse Practitioner (Family)
630 ROOSEVELT
IRVINE, CA 92620
Registered Nurse
630 ROOSEVELT
IRVINE, CA 92620
Physical Therapist
630 ROOSEVELT
IRVINE, CA 92620

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245404573, enumerated as an "organization" on April 17, 2008.

The provider is located at 630 ROOSEVELT IRVINE, CA 92620 and the phone number is (949) 390-7308.

In Home Supportive Care with taxonomy code 253Z00000X.