Provider Demographics
NPI:1205189396
Name:VALLEY HOME HEALTH COMPANY
Entity Type:Organization
Organization Name:VALLEY HOME HEALTH COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:GLENN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARGROVE
Authorized Official - Suffix:
Authorized Official - Credentials:MS DEGREE
Authorized Official - Phone:330-610-2866
Mailing Address - Street 1:496 GLENWOOD AVE
Mailing Address - Street 2:SUITE 136
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44502-1509
Mailing Address - Country:US
Mailing Address - Phone:330-740-0402
Mailing Address - Fax:330-740-0432
Practice Address - Street 1:496 GLENWOOD AVE
Practice Address - Street 2:SUITE 136
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44502-1509
Practice Address - Country:US
Practice Address - Phone:330-740-0402
Practice Address - Fax:330-740-0432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-26
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health