Active NPI
Valley Home Care, Inc
- Home Health Agency
- Paramus, NJ
National Provider Identifier
1174588925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 22381
- Legal business name
- VALLEY HOME CARE, INC
- Practice address
- 15 Essex Rd
Paramus, NJ 07652-1451 - Phone
- (201) 291-6000
- Fax
- (201) 291-6260
- NPI assigned
- Apr 17, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Josette Portalatin
- Title
- Avp
- Phone
- (201) 291-6017
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 22381 | NJ | Primary |
Addresses
Primary practice location
15 Essex Rd
Paramus, NJ 07652-1451
Mailing address
15 Essex Rd
Paramus, NJ 07652-1451
Phone (201) 291-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3687805 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100703000032 | NJ | Part A Provider - Home Health Agency | 5991833105 | Practice locations: Paramus, NJ |
Home health agency certification: CCN 317008
- Legal name
- VALLEY HOME CARE INC.
- Doing business as
- VALLEY HOSPICE
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jul 1, 1966
- Last certification
- Feb 8, 2018
- Ownership / control type
- Non-Profit
- Organization structure
- Corporation
- Incorporated
- Jan 24, 1986 in NJ
- Enrollment address
- 15 Essex Rd 301
Paramus, NJ 07652-1457
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Valley Home Care Inc.
- Overall star rating
- Ownership
- Non-Profit
- Certified
- Jul 1, 1966
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider Directory- Tax ID family
- Valley Home Care
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community Based Hospice Care Agency
- Paramus, NJ
- NPI 1457316770
Locations
15 Essex Rd
Fl 3
Paramus, NJ 07652
Ownership & related parties
All disclosed owners & managing parties 15
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Michelle Restrepo | W-2 Managing Employee | May 21, 2018 | 5% |
| Donald E Strangfeld | Corporate Director | Jun 4, 2015 | |
| Kathryn Yeomans | Corporate Director | Jun 5, 2014 | |
| Denise Ratcliffe | Corporate Director | Jun 5, 2008 | |
| Paulette Laurenzi | Corporate Director | Jun 2, 2011 | |
| Barry Poskanzer | Corporate Director | Jun 4, 2015 | |
| Kathleen Burke | Corporate Director | Jun 2, 2011 | |
| David F Ludwig | Corporate Director | Jun 2, 2016 | |
| Cynthia J Halaby | Corporate Director | Jun 7, 2012 | |
| Nisha Sikder | Corporate Officer | Jan 1, 2017 | 5% |
| Steven L Nickles | Corporate Director | Jun 6, 2013 | |
| Anne Goheen Crane | Corporate Director | Jun 5, 2014 | |
| Robert W Brenner | Corporate Director | Jun 2, 2016 | |
| Josette Portalatin | Corporate Officer | Jan 15, 2020 | 5% |
| John W Albohm | Corporate Director | Jun 2, 2016 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
Practitioners & affiliated clinicians
Affiliated clinicians 462
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647216000000",
"number": "1174588925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 ESSEX RD",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076521451",
"telephone_number": "201-291-6000",
"fax_number": "201-291-6260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 ESSEX RD",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076521451",
"telephone_number": "201-291-6000",
"fax_number": "201-291-6260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY HOME CARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-04-17",
"last_updated": "2022-03-14",
"certification_date": "2022-03-14",
"status": "A",
"authorized_official_last_name": "PORTALATIN",
"authorized_official_first_name": "JOSETTE",
"authorized_official_title_or_position": "AVP",
"authorized_official_telephone_number": "201-291-6017"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NJ",
"license": "22381",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3687805",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- 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.