1134237969 NPI number — VALERIE HOME HEALTH CARE SERVICES INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134237969 NPI number — VALERIE HOME HEALTH CARE SERVICES INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VALERIE HOME HEALTH CARE SERVICES INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1134237969
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/21/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
30445 NORTHWESTERN HWY
Provider Second Line Business Mailing Address:
130
Provider Business Mailing Address City Name:
FARMINGTON HILLS
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
48334-3158
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
248-539-9884
Provider Business Mailing Address Fax Number:
248-539-9883

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
30445 NORTHWESTERN HWY
Provider Second Line Business Practice Location Address:
130
Provider Business Practice Location Address City Name:
FARMINGTON HILLS
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
48334-3158
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
248-539-9884
Provider Business Practice Location Address Fax Number:
248-539-9883
Provider Enumeration Date:
08/29/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ABULU
Authorized Official First Name:
EGERTON
Authorized Official Middle Name:
OKOYAMA
Authorized Official Title or Position:
DIRECTOR OPERATIONS
Authorized Official Telephone Number:
248-539-9887

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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