MEDICARE: VALLEY HOME HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	624-HHA-13	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205820297
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY HOME HEALTH

Provider Business Mailing Address
First Line	:	1331 S RAINBOW BLVD
Second Line	:	SUITE 101
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-9238
Country	:	US
Telephone Number	:	702-388-8420
Fax Number	:	702-562-0912

Provider Business Practice Location Address
First Line	:	1331 S RAINBOW BLVD
Second Line	:	SUITE 101
City	:	LAS VEGAS
State	:	NV
Zip	:	89146-9238
Country	:	US
Telephone Number	:	702-388-8420
Fax Number	:	702-562-0912

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. LARRY L SEARLES
Credential	:	RN
Telephone Number	:	702-562-0911

Provider Enumeration Date	:	09/06/2005
Last Update Date	:	11/27/2023

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Directions to “VALLEY HOME HEALTH ” Practice Location

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