Valley Wide Behavioral Care, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

VALLEY WIDE BEHAVIORAL CARE, LLC

Practice address

5217 W Beautiful LN
Laveen, AZ 85339-2199

Phone

(480) 823-8848

Fax

(480) 422-9187

NPI assigned

Jul 9, 2020

Organization subpart

No

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

Authorized official

Name

Ernesta Pearl

Title

Manager

Phone

(480) 823-8848

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1594252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594252800000",
    "number": "1346868049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 S AMBER ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852861415",
            "telephone_number": "480-823-8848",
            "fax_number": "480-422-9187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5217 W BEAUTIFUL LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392199",
            "telephone_number": "480-823-8848",
            "fax_number": "480-422-9187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY WIDE BEHAVIORAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-09",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A",
        "authorized_official_last_name": "PEARL",
        "authorized_official_first_name": "ERNESTA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-823-8848"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ruben Valencia Jr., DMD
• Guadalupe Valentin Misla
• Valley Care Homes LLC
• Valley Premier Care LLC
• Valley Travelers Social Exploration Inc.
• Susan Eileen Van Wie, CCC/A
• David Vargas
• Suja Varghese, FNP-C
• Jisha Varughese, DPT
• Cody Vecchio, DPT

• Community/Behavioral Health Agency in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Community/Behavioral Health Agency in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.