NPIMap

Organization Active NPI

Valley Home Health Services, LLC

  • Home Health Agency
  • Caribou, ME
National Provider Identifier
1083792485
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
2774 Issued in ME
Legal business name
VALLEY HOME HEALTH SERVICES, LLC
Practice address
19 Marshall Ave Ste 3
Caribou, ME 04736-2207
Phone
(207) 492-1149
Fax
(207) 492-8245
NPI assigned
Nov 2, 2006
Last updated
Feb 18, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Authorized official

Name
Tanya L SleeperNPI 1164765640
Title
Executive Director
Phone
(207) 492-1149

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 2774 ME Primary

Addresses

Primary practice location

19 Marshall Ave Ste 3
Caribou, ME 04736-2207

Mailing address

19 Marshall Ave Ste 3
Caribou, ME 04736-2207
Phone (207) 492-1149

Other identifiers 3

IdentifierTypeStateIssuer
128560000MedicaidME
2045574OtherMEAETNA
0000036549OtherMEBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030121000013 ME Part A Provider - Home Health Agency 1951219724 Practice locations: Fort Kent Mills, ME; Caribou, ME

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083792485. Details of each certification follow.

Home health agency certification: CCN 207054

Legal name
VALLEY HOME HEALTH SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 18, 1995
Last certification
Jul 30, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
19 Marshall Ave
Apt 3
Caribou, ME 04736-2242
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Valley Home Health ServicesCCN 207054 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jul 18, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
20D0901768Valley Home Health Services19 Marshall Avenue, Suite 3, Caribou, ME 04736Certificate of waiverJun 5, 2027

National Provider Directory

National Provider Directory

Locations

658 Main St
Ste 2
Caribou, ME 04736
Phone (207) 492-1149

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Robert G Poiesz Individual Corporate DirectorBoard Member Aug 10, 2016
Shawn D Anderson Individual Corporate DirectorBoard Member Dec 31, 2002
Aroostook Home Health Services Organization, Caribou, ME Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2002 100%
Jason Parent Individual Corporate DirectorBoard Member Aug 10, 2016
Betty Hatch Individual Corporate DirectorBoard Member Dec 31, 2002
Tanya Sleeper Individual W-2 Managing Employee Nov 28, 2002
Peter J Sirois Individual Corporate Director Jan 21, 2003
Kris Doody Individual Corporate DirectorBoard Member Dec 31, 2002
Judith Ekman Individual Corporate DirectorDirector of Financial Operations Feb 5, 2018

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 14

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613606400000",
    "number": "1083792485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 MARSHALL AVE STE 3",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047362207",
            "telephone_number": "207-492-1149",
            "fax_number": "207-492-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 MARSHALL AVE STE 3",
            "city": "CARIBOU",
            "state": "ME",
            "postal_code": "047362207",
            "telephone_number": "207-492-1149",
            "fax_number": "207-492-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HOME HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A",
        "authorized_official_last_name": "SLEEPER",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "207-492-1149"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "ME",
            "license": "2774",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128560000",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2045574",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0000036549",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Caribou, ME

Sources for this page

Verify at the official NPI Registry.