Healthcare Provider Details

I. General information

NPI: 1902351927
Provider Name (Legal Business Name): VALLEY HOME HEALTH CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2016
Last Update Date: 01/31/2023
Certification Date: 01/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10450 E RIGGS RD STE 111
SUN LAKES AZ
85248-7760
US

IV. Provider business mailing address

10450 E RIGGS RD STE 111
SUN LAKES AZ
85248-7760
US

V. Phone/Fax

Practice location:
  • Phone: 480-625-3303
  • Fax: 480-625-3513
Mailing address:
  • Phone: 480-625-3303
  • Fax: 480-625-3513

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: REBECCA LYNN STOKES
Title or Position: OWNER
Credential:
Phone: 480-216-3980