Provider Demographics
NPI:1598397580
Name:VALLEY MED HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:VALLEY MED HOME HEALTH CARE LLC
Other - Org Name:EVERYDAY HOME HEALTH LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:WAGNER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:484-656-7176
Mailing Address - Street 1:2200 HAMILTON ST STE 310
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-6359
Mailing Address - Country:US
Mailing Address - Phone:484-656-7176
Mailing Address - Fax:484-656-7177
Practice Address - Street 1:2200 HAMILTON ST STE 310
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18104-6359
Practice Address - Country:US
Practice Address - Phone:484-656-7176
Practice Address - Fax:484-656-7177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-07
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA07930501OtherDEPARTMENT OF HEALTH