MEDICARE: VALORA GROUP HOMES LLC

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	163WH0200X	Home Health Registered Nurse

General Provider Information

NPI Number	:	1730030560
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALORA GROUP HOMES LLC

Provider Business Mailing Address
First Line	:	4629 WARD DR NE
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97305-3161
Country	:	US
Telephone Number	:	971-707-8057
Fax Number	:

Provider Business Practice Location Address
First Line	:	4629 WARD DR NE
Second Line	:
City	:	SALEM
State	:	OR
Zip	:	97305-3161
Country	:	US
Telephone Number	:	971-707-8057
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	SITATE GELGELU
Credential	:	RN
Telephone Number	:	971-707-8057

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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