Organization Active NPI

Valley Care LLC

  • Adult Care Home Facility
  • Appleton, WI
National Provider Identifier
1366265605
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
VALLEY CARE LLC
Practice address
5770 W Packard St
Appleton, WI 54913-8783
Phone
(480) 901-2382
NPI assigned
Nov 5, 2024
Last updated
Nov 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Authorized official

Name
Abdullahi Ismail
Title
Ceo
Phone
(480) 901-2382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NU Primary

Addresses

Primary practice location

5770 W Packard St
Appleton, WI 54913-8783

Mailing address

5770 W Packard St
Appleton, WI 54913-8783

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730764800000",
    "number": "1366265605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5770 W PACKARD ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5770 W PACKARD ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138783",
            "telephone_number": "480-901-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "ABDULLAHI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "480-901-2382"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; 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.