NPIMap

Organization Active NPI

Valley Health Services Inc Adc

  • Skilled Nursing Facility
  • Herkimer, NY
National Provider Identifier
1285896894
Registry record updated Dec 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2124301N Issued in NY
Legal business name
VALLEY HEALTH SERVICES INC ADC
Practice address
690 W German St
Herkimer, NY 13350-2135
Phone
(315) 866-3330
Fax
(315) 866-6546
NPI assigned
Jun 26, 2008
Last updated
Dec 11, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
VALLEY HEALTH SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 11, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Lisa M Betrus
Title
Ceo/Administrator
Phone
(315) 866-3330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2124301N NY Primary

Addresses

Primary practice location

690 W German St
Herkimer, NY 13350-2135

Mailing address

690 W German St
Herkimer, NY 13350-2135
Phone (315) 866-3330

Other identifiers 1

IdentifierTypeStateIssuer
01281098MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Valley Health Services Inc3 organizations share this tax ID, including this one
Part of
Valley Health Services Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449792000000",
    "number": "1285896894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 W GERMAN ST",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133502135",
            "telephone_number": "315-866-3330",
            "fax_number": "315-866-6546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 W GERMAN ST",
            "city": "HERKIMER",
            "state": "NY",
            "postal_code": "133502135",
            "telephone_number": "315-866-3330",
            "fax_number": "315-866-6546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HEALTH SERVICES INC ADC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY HEALTH SERVICES INC",
        "enumeration_date": "2008-06-26",
        "last_updated": "2015-12-11",
        "status": "A",
        "authorized_official_last_name": "BETRUS",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "315-866-3330",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "2124301N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01281098",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Herkimer, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2015; 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.