Provider Demographics
NPI:1477977122
Name:HEART OF THE VALLEY HOMECARE INC. DBA RIGHT AT HOME
Entity Type:Organization
Organization Name:HEART OF THE VALLEY HOMECARE INC. DBA RIGHT AT HOME
Other - Org Name:RIGHT AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PATTY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HIETPAS
Authorized Official - Suffix:
Authorized Official - Credentials:CERT HEALTH SPECIAL
Authorized Official - Phone:920-257-4667
Mailing Address - Street 1:4311 N. LIGHTNING DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54913
Mailing Address - Country:US
Mailing Address - Phone:920-257-4667
Mailing Address - Fax:920-257-4660
Practice Address - Street 1:1019 TRUMAN ST
Practice Address - Street 2:SUITE B
Practice Address - City:KIMBERLY
Practice Address - State:WI
Practice Address - Zip Code:54136-2208
Practice Address - Country:US
Practice Address - Phone:920-257-4667
Practice Address - Fax:920-257-4660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-14
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No251J00000XAgenciesNursing Care