Berachah Valley Corporation

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

BERACHAH VALLEY CORPORATION

Practice address

1619 Camellia St
Vidalia, LA 71373-3803

Phone

(318) 336-2883

Fax

(318) 336-2845

NPI assigned

Mar 30, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Phillis Creek Burress

Title

Owner

Phone

(318) 757-9718

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Berachah Valley Corporation4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Berachah Valley Corporation

  • Personal Care Attendant
  • Bastrop, LA
  • NPI 1033230594
  NPD tax ID
• Berachah Valley Corporation

  • Personal Care Attendant
  • Vidalia, LA
  • NPI 1538282371
  NPD tax ID
• Berachah Valley Corporation

  • Personal Care Attendant
  • Bastrop, LA
  • NPI 1831219179
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003936493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 296",
            "city": "FERRIDAY",
            "state": "LA",
            "postal_code": "713340296",
            "telephone_number": "318-757-9718",
            "fax_number": "318-757-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 CAMELLIA ST",
            "city": "VIDALIA",
            "state": "LA",
            "postal_code": "713733803",
            "telephone_number": "318-336-2883",
            "fax_number": "318-336-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERACHAH VALLEY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BURRESS",
        "authorized_official_first_name": "PHILLIS",
        "authorized_official_middle_name": "CREEK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "318-757-9718",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1159646",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ernetria L Banks
• Vontina Lavet Barfield
• Blakelynn Colclasure Bass, DPT
• Chelsea Bates
• Antrina M Bell, DSW
• Berachah Valley Corporation
• Jennifer Hootsell Betts, M.S., CCC-SLP
• Brianne Ellis Black, FNP
• Kewonna Blanton
• Bailey Book, PHARMD

• Personal Care Attendant in Vidalia, LA
• Providers in Vidalia, LA by specialty
• Personal Care Attendant in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.