MEDICARE: VALLEYLIFE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1063360063
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEYLIFE

Provider Business Mailing Address
First Line	:	1142 W HATCHER RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-3045
Country	:	US
Telephone Number	:	602-216-6393
Fax Number	:	602-216-6357

Provider Business Practice Location Address
First Line	:	1142 W HATCHER RD
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85021-3045
Country	:	US
Telephone Number	:	602-216-6393
Fax Number	:	602-216-6357

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JENNIFER BAIER
Credential	:	M.ED.
Telephone Number	:	602-216-6393

Provider Enumeration Date	:	03/17/2026
Last Update Date	:	03/17/2026

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Directions to “VALLEYLIFE ” Practice Location

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