=====================================================
General NPI Number Information
=====================================================
NPI Number | 1902351927
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VALLEY HOME HEALTH CARE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/19/2016
-----------------------------------------------------
Last Update Date | 01/31/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10450 E RIGGS RD STE 111
-----------------------------------------------------
City | SUN LAKES
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85248-7760
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-625-3303
-----------------------------------------------------
Fax | 480-625-3513
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 10450 E RIGGS RD STE 111
-----------------------------------------------------
City | SUN LAKES
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85248-7760
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-625-3303
-----------------------------------------------------
Fax | 480-625-3513
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | REBECCA LYNN STOKES
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 480-216-3980
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251F00000X
-----------------------------------------------------
Taxonomy Name | Home Infusion Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251S00000X
-----------------------------------------------------
Taxonomy Name | Community/Behavioral Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 385H00000X
-----------------------------------------------------
Taxonomy Name | Respite Care
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------