Healthcare Provider Details

I. General information

NPI: 1558915132
Provider Name (Legal Business Name): VALLEY VIEW CARE CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2019
Last Update Date: 07/31/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 4 MILE RD NW
GRAND RAPIDS MI
49544-1505
US

IV. Provider business mailing address

1050 4 MILE RD NW
GRAND RAPIDS MI
49544-1505
US

V. Phone/Fax

Practice location:
  • Phone: 616-685-7000
  • Fax:
Mailing address:
  • Phone: 616-685-7000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: TODD SANGSTER
Title or Position: CFO
Credential:
Phone: 810-534-0150