Provider Demographics
NPI:1871853531
Name:VALENTINE HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:VALENTINE HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FLAVIA
Authorized Official - Middle Name:FL
Authorized Official - Last Name:MITRACHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-440-1316
Mailing Address - Street 1:3337 W 95TH ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:EVERGREEN PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60805-2234
Mailing Address - Country:US
Mailing Address - Phone:630-440-1316
Mailing Address - Fax:
Practice Address - Street 1:3337 W 95TH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:EVERGREEN PARK
Practice Address - State:IL
Practice Address - Zip Code:60805-2234
Practice Address - Country:US
Practice Address - Phone:630-440-1316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-29
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health