Active NPI
Valley Residential Services
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Walla Walla, WA
National Provider Identifier
1205330164
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- 111777901
- Legal business name
- VALLEY RESIDENTIAL SERVICES
- Practice address
- 240 Bush St
Walla Walla, WA 99362-2618 - Phone
- (509) 522-0400
- NPI assigned
- Mar 23, 2018
- 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
- Ms. Nancy Ellen Riggle
- Title
- Executive Director
- Phone
- (509) 522-0400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | 111777901 | WA | Primary |
Addresses
Primary practice location
240 Bush St
Walla Walla, WA 99362-2618
Mailing address
240 Bush St
Walla Walla, WA 99362-2618
Phone (509) 522-0400
National Provider Directory
National Provider DirectoryLocations
240 Bush St
Walla Walla, WA 99362
Phone (509) 522-0400
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nurse's Aide
- Walla Walla, WA
- NPI 1740852037
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521763200000",
"number": "1205330164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 BUSH ST",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993622618",
"telephone_number": "509-522-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 BUSH ST",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "993622618",
"telephone_number": "509-522-0400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY RESIDENTIAL SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-23",
"last_updated": "2018-03-23",
"status": "A",
"authorized_official_last_name": "RIGGLE",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "ELLEN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "509-522-0400",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "WA",
"license": "111777901",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.