Organization Active NPI

Valley Residential Services

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Walla Walla, WA
National Provider Identifier
1205330164
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
111777901 Issued in WA
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

Updated by the provider on Mar 23, 2018

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.