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NPI Code Detail

MEDICARE: VALLEY RIDGE HOME HEALTH LLC

MEDICARE: VALLEY RIDGE HOME HEALTH LLC
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
1251E00000XHome Health Agency

General Provider Information

NPI Number : 1598383309
Entity Type Code : Organization
Provider Name (Legal Business Name) : VALLEY RIDGE HOME HEALTH LLC
Provider Business Mailing Address
First Line : 10 HICKOK ST STE 200
Second Line :
City : CHRISTIANSBURG
State : VA
Zip : 24073-3569
Country : US
Telephone Number : 540-443-6111
Fax Number :
Provider Business Practice Location Address
First Line : 10 HICKOK ST STE 200
Second Line :
City : CHRISTIANSBURG
State : VA
Zip : 24073-3569
Country : US
Telephone Number : 540-443-6111
Fax Number :
Authorized Official
Title or Position : MANAGING MEMBER
Name : MR. AVI BISTON
Credential :
Telephone Number : 845-445-8384
Provider Enumeration Date : 07/08/2020
Last Update Date : 03/02/2026

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Directions to “VALLEY RIDGE HOME HEALTH LLC ” Practice Location

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