Healthcare Provider Details

I. General information

NPI: 1164528675
Provider Name (Legal Business Name): VALLEY CARE PROVIDERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2006
Last Update Date: 03/12/2020
Certification Date: 03/12/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 2ND STREET
PAONIA CO
81428
US

IV. Provider business mailing address

PO BOX 902
PAONIA CO
81428-0902
US

V. Phone/Fax

Practice location:
  • Phone: 970-527-5393
  • Fax: 970-527-5399
Mailing address:
  • Phone: 970-527-5393
  • Fax: 970-527-5399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: MS. MARY L KINGSBURY
Title or Position: OWNER-DIRECTOR
Credential:
Phone: 970-527-5393