Provider Demographics
NPI:1972703791
Name:VALLEY VIEW HOME HEALTH AGENCY, LLC
Entity Type:Organization
Organization Name:VALLEY VIEW HOME HEALTH AGENCY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HUU
Authorized Official - Middle Name:
Authorized Official - Last Name:TIEU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-788-2940
Mailing Address - Street 1:560 W. PUTNAM, SUITE 2
Mailing Address - Street 2:
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257
Mailing Address - Country:US
Mailing Address - Phone:559-788-2940
Mailing Address - Fax:559-788-2946
Practice Address - Street 1:560 W. PUTNAM, SUITE 2
Practice Address - Street 2:
Practice Address - City:PORTERVILLE
Practice Address - State:CA
Practice Address - Zip Code:93257
Practice Address - Country:US
Practice Address - Phone:559-788-2940
Practice Address - Fax:559-788-2946
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-19
Last Update Date:2010-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550000804251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA059063Medicare PIN