Provider Demographics
NPI:1134118631
Name:VALENCIA WOODS AT ST. BARNABAS, INC.
Entity Type:Organization
Organization Name:VALENCIA WOODS AT ST. BARNABAS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP - DIRECTOR OF FINANCE
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:D
Authorized Official - Last Name:TURCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-443-0700
Mailing Address - Street 1:5827 MERIDIAN RD
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-9404
Mailing Address - Country:US
Mailing Address - Phone:724-443-0700
Mailing Address - Fax:724-443-4633
Practice Address - Street 1:85 CHARITY PL
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:PA
Practice Address - Zip Code:16059-8757
Practice Address - Country:US
Practice Address - Phone:724-625-4000
Practice Address - Fax:724-443-4633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-18
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1012021200001Medicaid
PA134789OtherMEDPLUS
PA1512646OtherGATEWAY
PAS7508OtherBC OF MICHIGAN
PA0619OtherBLUE CROSS/SEC BLUE
PA1012021200001Medicaid
PA0619OtherBLUE CROSS/SEC BLUE