SALEM HOME MEDICAL
NPI 1194775700
Durable Medical Equipment & Medical Supplies in Salem, OH

NPI Status: Active since May 12, 2006

Contact Information

2235 E PERSHING ST
SUITE G
SALEM, OH
ZIP 44460
Phone: (330) 337-9922
Fax: (330) 332-2623

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  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Accepts Insurance
  • Medicare Supplier
  • Accepts Medicare Approved Payment
  • CLIA Number: 36D0341493
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-08-2027

About SALEM HOME MEDICAL

This page provides the complete NPI Profile along with additional information for Salem Home Medical, a provider established in Salem, Ohio operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1194775700 assigned on May 2006. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Salem Home Medical. The authorized official of this NPI record is Mrs. Anita A Hackstedde M.d. (President Ceo)

NPI
1194775700
Provider Legal Name
SALEM COMMUNITY HOSPITAL
Other Organization Name
SALEM HOME MEDICAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2235 E PERSHING ST SUITE G SALEM, OH 44460
Location Phone
(330) 337-9922
Location Fax
(330) 332-2623
Mailing Address
1995 E STATE ST SALEM, OH 44460
Mailing Phone
(330) 337-9922
Mailing Fax
(330) 332-2623
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
05-12-2006
Last Update Date
08-10-2016
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Salem Home Medical is a medicare supplier with PTAN 20657951 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Commodes, Urinals, Bedpans or Contracture Treatment Devices: Dynamic Splint or Blood Glucose Monitors/Supplies (Non-Mail Order) or Hospital Beds (Electric) or Support Surfaces: Pressure Reducing Beds/Mats/Pads or Canes and/or Crutches or Patient Lifts or Walkers or Wheelchairs (Standard Manual) or Wheelchair Seating/Cushions or Orthoses: Off-The-Shelf or Ostomy Supplies or Tracheotomy Supplies or Urological Supplies or Enteral Nutrients or Enteral Equipment and/or Supplies or Parenteral Nutrients or Continuous Positive Airway Pressure (CPAP) Devices or Nebulizer Equipment and/or Supplies or Oxygen Equipment and/or Supplies or Respiratory Suction Pumps or Surgical Dressings.

Location Map

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

Durable Medical Equipment & Medical Supplies

Taxonomy Code
332B00000X
Type
Suppliers
Taxonomy Description
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision - HMO
  • Anthem Bronze Pathway HMO 7450 for HSA - HMO
  • Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Catastrophic Pathway HMO 9200 - HMO
  • Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) - HMO
  • Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) - HMO
  • AultCare Bronze 5500 - PPO
  • AultCare Bronze 7050 - PPO
  • AultCare Gold 1000 - PPO
  • AultCare Gold 1200 - PPO
  • AultCare Gold 1800 - PPO
  • AultCare Gold 2850 - PPO
  • AultCare Gold 3150 - PPO
  • AultCare Platinum 1200 - PPO
  • AultCare Platinum 1800 Health Savings 500 - PPO
  • AultCare Platinum 300 - PPO
  • Bronze $8,300 w/ Virtual & Wellness ON-EX - HMO
  • Bronze HSA $7,300 ON-EX - HMO
  • Bronze Standard w/ Virtual & Wellness - HMO
  • Gold $1250 w/ Virtual & Wellness ON-EX - HMO
  • Gold $500 w/ Virtual & Wellness ON-EX - HMO
  • Gold Standard w/ Virtual & Wellness - HMO
  • Silver $5000 w/ Virtual & Wellness ON-EX - HMO
  • Silver Standard w/ Virtual & Wellness - HMO
  • SilverSelect w/ Virtual & Wellness ON-EX - HMO
  • Young Adult Essentials ON-EX - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MRS. ANITA A HACKSTEDDE M.D.

Authorized Official Title
PRESIDENT CEO
Authorized Official Phone
(330) 332-7214

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
0827734MEDICAID (05)OH 
0533770001MEDICARE NSC (07)OH 
360185MEDICARE OSCAR/CERTIFICATION (06)OH 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20657951
Accepts Medicare Assignment
YES
Specialities List
MSC With Respiratory Therapist.
Provider Type List
OXYGEN & EQUIPMENT.
Competitive Bidding
NO

Supplies List

  • Commodes, Urinals, Bedpans - Raised toilets, Drop-arm commodes, Folding commodes, Plastic urinals, Plastic bedpans, Disposable urinals
  • Contracture Treatment Devices: Dynamic Splint - Dynamic splinting devices for the knee, elbow, wrist, finger, or toe
  • Blood Glucose Monitors/Supplies (Non-Mail Order) - Home blood glucose monitors including lancets, reagent strips, and other supplies necessary for the proper functioning of the device
  • Hospital Beds (Electric) - Total electric hospital beds, Semi-electric hospital beds
  • Support Surfaces: Pressure Reducing Beds/Mats/Pads - Group 1 – Alternating pressure pad, Air/Water/Dry pressure pad or pressure mattress. Group 2 - Pressure reducing powered air mattresses, Powered air flotation bed, non-powered pressure reducing mattress Group 3 – Air fluidized bed
  • Canes and/or Crutches - Standard Canes, Quad Canes, Offset Canes, Standard Crutches, Forearm Crutches
  • Patient Lifts - Ceiling lifts, Slings
  • Walkers - Standard Walkers, Wheeled Walkers, Folding Walker
  • Wheelchairs (Standard Manual) - Standard wheelchairs, transport wheelchairs, heavy duty wheelchairs
  • Wheelchair Seating/Cushions - Wheelchair seat cushions, Wheelchair bank cushions, Wheelchair padded armrests
  • Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
  • Ostomy Supplies - Pouches, Paste, Powder, Barrier wipes
  • Tracheotomy Supplies - Tracheostomy care kits
  • Urological Supplies - Catheters, Urinary collection devices
  • Enteral Nutrients - Enteral formula
  • Enteral Equipment and/or Supplies - Enteral infusion pumps, enteral nutrition supply kits
  • Parenteral Nutrients - Parenteral nutrient solutions
  • Continuous Positive Airway Pressure (CPAP) Devices - CPAP machines, Compressor systems, Humidifiers, Masks
  • Nebulizer Equipment and/or Supplies - Nebulizers, Atomizers, Filters
  • Oxygen Equipment and/or Supplies - Portable oxygen systems, Oxygen concentrators, Oxygen contents
  • Respiratory Suction Pumps - Portable suction pumps, Stationary suction pumps, Canisters
  • Surgical Dressings - Gauze, Elastic bandages, Adhesive tape

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
36D0341493
Facility Type
Hospital
Certificate Effective Date
February 09, 2025
Certificate Expiration Date
February 08, 2027
Laboratory Director
DR. DAVID B. NASH
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Salem Home Medical on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1194775700
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211841471070
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 8 + 4 + 1 + 4 + 7 + 1 + 0 + 7 + 0 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1194775700 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1003951328MR. STEPHEN JOSEPH POLLAK CPO
Individual
Specialist2235 E PERSHING ST
SALEM, OH 44460
(330) 337-8333
1649302175 CHERYL ANN POLLAK P.T.
Individual
Physical Therapist2235 E PERSHING ST
SALEM, OH 44460
(330) 337-8333
1518164912CHERYL POLLAK
Organization
Prosthetic/Orthotic Supplier2235 E PERSHING ST SUITE F
SALEM, OH 44460
(330) 337-8333
1770582678 WALTER W DOMBROSKI M.D.
Individual
Family Medicine2235 E PERSHING ST
SALEM, OH 44460
(330) 332-7803
1316004971COMPREHENSIVE BRACE AND LIMB CENTER
Organization
Durable Medical Equipment & Medical Supplies2235 E PERSHING ST SUITE F
SALEM, OH 44460
(330) 337-8333

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194775700, enumerated in the NPI registry as an "organization" on May 12, 2006

The provider is located at 2235 E Pershing St Suite G Salem, Oh 44460 and the phone number is (330) 337-9922

This medical organization specializes in Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X

The provider might be accepting Accepts: Aetna CVS Health, Anthem Blue Cross and Blue. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 36D0341493 for a "hospital" facility with a CLIA Certificate of Accreditation. This is a CLIA certificate is issued on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing..

This NPI record was last updated on May 12, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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