Active NPI
Valley Residential Services Inc.
- Assisted Living Facility
- Herkimer, NY
National Provider Identifier
1104235811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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, 2015
- Organization subpart
- Yes
- Parent organization
- VALLEY HEALTH SERVICES INC.
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2128285 | Valley Residential Services Inc | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Valley Residential Services Inc
- 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.
-
dba Valley Home Care
- In Home Supportive Care Agency
- Herkimer, NY
- NPI 1639567522
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.
-
- Skilled Nursing Facility
- Herkimer, NY
- NPI 1275607566
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.