Provider Demographics
NPI:1164585394
Name:VAL'S HOME HEALTH CARE, INC.
Entity Type:Organization
Organization Name:VAL'S HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:V
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:252-287-6999
Mailing Address - Street 1:PO BOX 892
Mailing Address - Street 2:200 WEST MAIN STREET
Mailing Address - City:AHOSKIE
Mailing Address - State:NC
Mailing Address - Zip Code:27910-0892
Mailing Address - Country:US
Mailing Address - Phone:252-332-2071
Mailing Address - Fax:252-332-8771
Practice Address - Street 1:200 MAIN ST W
Practice Address - Street 2:
Practice Address - City:AHOSKIE
Practice Address - State:NC
Practice Address - Zip Code:27910-3318
Practice Address - Country:US
Practice Address - Phone:252-332-2071
Practice Address - Fax:252-332-8771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3172251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6601375Medicaid
NC3409600Medicaid