Valley Residential Services, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

VALLEY RESIDENTIAL SERVICES, INC.

Practice address

300 S Saginaw St
Saint Charles, MI 48655-1454

Phone

(989) 865-9997

Fax

(989) 865-8595

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Nancy Beach

Title

Executive Director

Phone

(989) 865-9997

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316078629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 S SAGINAW ST",
            "city": "SAINT CHARLES",
            "state": "MI",
            "postal_code": "486551454",
            "telephone_number": "989-865-9997",
            "fax_number": "989-865-8595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S SAGINAW ST",
            "city": "SAINT CHARLES",
            "state": "MI",
            "postal_code": "486551454",
            "telephone_number": "989-865-9997",
            "fax_number": "989-865-8595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY RESIDENTIAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEACH",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "989-865-9997",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St Charles Pharmacy LLC (Healthway Pharmacy)
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• St. Charles Family Dentistry
• Jennifer Jo Thon, B.A.
• Kimberly Truckner, MSN, FNP-BC
• Rachel Wells
• Ronald Stewart Westervelt, D.D.S.
• Carrie Wilson, PHARMD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Saint Charles, MI
• Providers in Saint Charles, MI by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.