Provider Demographics
NPI:1336330349
Name:VALLEY HOSPICE SERVICES LLC
Entity Type:Organization
Organization Name:VALLEY HOSPICE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:ROLAND
Authorized Official - Middle Name:G
Authorized Official - Last Name:UY
Authorized Official - Suffix:
Authorized Official - Credentials:CPA
Authorized Official - Phone:805-578-8937
Mailing Address - Street 1:2345 ERRINGER RD
Mailing Address - Street 2:SUITE 225
Mailing Address - City:SIMI VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:93065-2235
Mailing Address - Country:US
Mailing Address - Phone:805-578-8937
Mailing Address - Fax:
Practice Address - Street 1:2345 ERRINGER RD
Practice Address - Street 2:SUITE 225
Practice Address - City:SIMI VALLEY
Practice Address - State:CA
Practice Address - Zip Code:93065-2235
Practice Address - Country:US
Practice Address - Phone:805-578-8937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2007-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based