Organization Active NPI

Valley Residential Services Inc.

  • Assisted Living Facility
  • Herkimer, NY
National Provider Identifier
1104235811
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
VALLEY RESIDENTIAL SERVICES INC.
Practice address
161 Valley Drive
Herkimer, NY 13350-2135
Phone
(315) 219-5700
Fax
(315) 866-0016
NPI assigned
Aug 6, 2014
Last updated
Dec 11, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
VALLEY HEALTH SERVICES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

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

Authorized official

Name
Ms. Lisa M. Betrus
Title
Ceo
Phone
(315) 866-3330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

161 Valley Drive
Herkimer, NY 13350-2135

Mailing address

690 W German St
Herkimer, NY 13350-2135
Phone (315) 866-3330

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
33D2128285Valley Residential Services Inc161 Valley Drive, Herkimer, NY 13350Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Valley Residential Services Inc2 organizations share this tax ID, including this one
Part of
Valley Health Servicesi

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1104235811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 W GERMAN ST",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133502135",
            "telephone_number": "315-866-3330",
            "fax_number": "315-866-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 VALLEY DRIVE",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133502135",
            "telephone_number": "315-219-5700",
            "fax_number": "315-866-0016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY RESIDENTIAL SERVICES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY HEALTH SERVICES INC.",
        "enumeration_date": "2014-08-06",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "BETRUS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "315-866-3330",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Herkimer, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.