Provider Demographics
NPI:1083792485
Name:VALLEY HOME HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:VALLEY HOME HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:L
Authorized Official - Last Name:SLEEPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-492-1149
Mailing Address - Street 1:19 MARSHALL AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:CARIBOU
Mailing Address - State:ME
Mailing Address - Zip Code:04736-2207
Mailing Address - Country:US
Mailing Address - Phone:207-492-1149
Mailing Address - Fax:207-492-8245
Practice Address - Street 1:19 MARSHALL AVE STE 3
Practice Address - Street 2:
Practice Address - City:CARIBOU
Practice Address - State:ME
Practice Address - Zip Code:04736-2207
Practice Address - Country:US
Practice Address - Phone:207-492-1149
Practice Address - Fax:207-492-8245
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-02
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME2774251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME0000036549OtherBCBS
ME128560000Medicaid
ME2045574OtherAETNA
ME128560000Medicaid