Provider Demographics
NPI:1114218781
Name:VALEO HOME HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:VALEO HOME HEALTHCARE SERVICES
Other - Org Name:VALEO HOME HEALTH AND HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:S
Authorized Official - Last Name:KISSELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-639-0020
Mailing Address - Street 1:5250 S COMMERCE DR STE 225
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-7926
Mailing Address - Country:US
Mailing Address - Phone:801-639-0020
Mailing Address - Fax:801-639-0021
Practice Address - Street 1:5250 S COMMERCE DR STE 225
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-7926
Practice Address - Country:US
Practice Address - Phone:801-639-0020
Practice Address - Fax:801-639-0021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-29
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health