Provider Demographics
NPI:1073127734
Name:WEST VALLEY HOME CARE, LLC
Entity Type:Organization
Organization Name:WEST VALLEY HOME CARE, LLC
Other - Org Name:SYNERGY HOMECARE OF THE WEST VALLEY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:GENERAL COUNSEL
Authorized Official - Prefix:
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:CLARIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-246-1000
Mailing Address - Street 1:13210 W VAN BUREN ST STE 112
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85338-1164
Mailing Address - Country:US
Mailing Address - Phone:623-246-1000
Mailing Address - Fax:623-226-8988
Practice Address - Street 1:13210 W VAN BUREN ST STE 112
Practice Address - Street 2:
Practice Address - City:GOODYEAR
Practice Address - State:AZ
Practice Address - Zip Code:85338-1164
Practice Address - Country:US
Practice Address - Phone:623-246-1000
Practice Address - Fax:623-226-8988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-01
Last Update Date:2023-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health