MEDICARE: VALLEY VIEW HEALTH AND REHABILITATION, 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
1	314000000X	Skilled Nursing Facility

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
2	012431	OTHER	AL	BCBS ID

General Provider Information

NPI Number	:	1851347033
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY VIEW HEALTH AND REHABILITATION, LLC

Provider Business Mailing Address
First Line	:	5968 WALL TRIANA HWY
Second Line	:
City	:	MADISON
State	:	AL
Zip	:	35757-7200
Country	:	US
Telephone Number	:	256-830-2316
Fax Number	:	256-830-2319

Provider Business Practice Location Address
First Line	:	5968 WALL TRIANA HWY
Second Line	:
City	:	MADISON
State	:	AL
Zip	:	35757-7200
Country	:	US
Telephone Number	:	256-830-2316
Fax Number	:	256-830-2319

Authorized Official
Title or Position	:	CFO
Name	:	PHILLIP CODY LONG
Credential	:
Telephone Number	:	205-391-3600

Provider Enumeration Date	:	05/26/2006
Last Update Date	:	10/12/2020

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