Provider Demographics
NPI:1700203429
Name:HOSPICE OF THE VALLEY
Entity Type:Organization
Organization Name:HOSPICE OF THE VALLEY
Other - Org Name:TRANSITIONS CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLAIS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:970-930-6008
Mailing Address - Street 1:823 GRAND AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:81601-3403
Mailing Address - Country:US
Mailing Address - Phone:970-930-6030
Mailing Address - Fax:970-927-6659
Practice Address - Street 1:823 GRAND AVE STE 300
Practice Address - Street 2:
Practice Address - City:GLENWOOD SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:81601-3403
Practice Address - Country:US
Practice Address - Phone:970-930-6030
Practice Address - Fax:970-927-6659
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOSPICE OF THE VALLEY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-03-19
Last Update Date:2020-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0409ZF251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO=========Medicaid
CO=========Medicaid
CO=========Medicare PIN