1437135977 NPI number — VALLEY HOME HEALTH, 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 1437135977 NPI number — VALLEY HOME HEALTH, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
VALLEY HOME HEALTH, 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:
1437135977
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/17/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6422 BELLINGHAM AVE STE 202A
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NORTH HOLLYWOOD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91606-1417
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-509-6764
Provider Business Mailing Address Fax Number:
818-509-0645

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6422 BELLINGHAM AVE
Provider Second Line Business Practice Location Address:
STE. # 210
Provider Business Practice Location Address City Name:
NORTH HOLLYWOOD
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91606-1417
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-509-6764
Provider Business Practice Location Address Fax Number:
818-509-0645
Provider Enumeration Date:
12/16/2005

Additional Information

Authorized Official

Authorized Official Last Name:
MINASYAN
Authorized Official First Name:
ASYA
Authorized Official Middle Name:
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
818-509-6764

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  980001418 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: HHA08158F , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".




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