=====================================================
General NPI Number Information
=====================================================
NPI Number | 1487692943
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VALLEY HOME HEALTH CARE, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/04/2006
-----------------------------------------------------
Last Update Date | 08/22/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 755 BOARDMAN CANFIELD RD
-----------------------------------------------------
City | BOARDMAN
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44512-4300
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-758-5727
-----------------------------------------------------
Fax | 330-758-5725
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 755 BOARDMAN CANFIELD RD
-----------------------------------------------------
City | BOARDMAN
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44512-4300
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 330-758-5727
-----------------------------------------------------
Fax | 330-758-5725
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CO OWNER
-----------------------------------------------------
Name | MR. JOHN D'APOLITO
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 330-758-5727
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------