Valerie Altiery
Individual provider Active NPI Home Health Agency · Mims, FL
NPI 1124782909 · NPPES record last updated Oct 27, 2021
Key facts
- NPI
- 1124782909
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Agency 251E00000X
- Practice address
- 3030 Kennedy St
Mims, FL 32754-3949 - Phone
- (386) 334-0306
- NPI assigned
- Oct 27, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes |
Addresses
Primary practice location
3030 Kennedy St
Mims, FL 32754-3949
Mailing address
3030 Kennedy St
Mims, FL 32754-3949
Phone (386) 334-0306
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 863196806 | Medicaid | FL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Pvaltiery@gmail.com | Direct |
Other providers in Mims, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.