NEW YORK SENIORCARE IN THE VALLEY LLC NPI 1376738419

NPI Information

NPI: 1376738419
Provider Name: NEW YORK SENIORCARE IN THE VALLEY LLC

Doing Business As: VALLEY VISTA ADULT HOME/ALP

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 33D2209609

Address:
141 NORTH ROAD
VALLEY VISTA ADULT HOME/ALP
HIGHLAND, NY
ZIP 12528
Phone: (845) 691-7400
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NEW YORK SENIORCARE IN THE VALLEY LLC is an assisted living facility in Highland, NY. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. NEW YORK SENIORCARE IN THE VALLEY LLC NPI is 1376738419. The provider is registered as an organization entity type.
The provider Is Doing Business As Valley Vista Adult Home/alp.

The provider's business location address is:

141 NORTH ROAD
VALLEY VISTA ADULT HOME/ALP
HIGHLAND, NY
ZIP 12528-037
Phone: (845) 691-7400
Fax: (845) 691-3787

The provider's authorized official is Eileen Patricia Heller .
The authorized official title is Administrator and has the following contact phone number (845) 691-7400.

The CLIA number assigned to this NPI record is 33D2209609 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/12/2007 and was last updated on 9/12/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		740 F 074	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01453016	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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