Provider Demographics
NPI:1205820297
Name:VALLEY HOME HEALTH
Entity Type:Organization
Organization Name:VALLEY HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:L
Authorized Official - Last Name:SEARLES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:702-562-0911
Mailing Address - Street 1:1331 S RAINBOW BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-9238
Mailing Address - Country:US
Mailing Address - Phone:702-388-8420
Mailing Address - Fax:702-562-0912
Practice Address - Street 1:1331 S RAINBOW BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-9238
Practice Address - Country:US
Practice Address - Phone:702-388-8420
Practice Address - Fax:702-562-0912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-06
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV624-HHA-13251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002902040Medicaid