Valerie Luziel Davis

Individual provider Active NPI Home Health Agency · Fridley, MN

NPI 1114795408 · NPPES record last updated Dec 15, 2023

Key facts

NPI
1114795408
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Agency 251E00000X
Practice address
7691 Central Ave NE Ste 102
Fridley, MN 55432-3581
Phone
(763) 572-2390
Fax
(763) 574-2459
NPI assigned
Dec 15, 2023
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Pride N Living Home Care Inc . Home Health Past
since Dec 17, 2023
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Yes

Addresses

Primary practice location

7691 Central Ave NE Ste 102
Fridley, MN 55432-3581

Mailing address

7691 Central Ave NE Ste 102
Fridley, MN 55432-3581
Phone (763) 572-2390

Other providers in Fridley, MN

All providers in Fridley, MN · Home Health Agency in Minnesota

Sources for this page

Verify at the official NPI Registry.