Organization Active NPI

Valley Residential Corp

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Brownsville, TX
National Provider Identifier
1376759381
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
VALLEY RESIDENTIAL CORP
Practice address
8 Casa Linda
Brownsville, TX 78521-2734
Phone
(956) 504-6019
Fax
(956) 504-6019
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Tamara Lynn Allen-Bray
Title
C.E.O.
Phone
(956) 547-9983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

8 Casa Linda
Brownsville, TX 78521-2734

Mailing address

8 Casa Linda
Brownsville, TX 78521-2734
Phone (956) 504-6019

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376759381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CASA LINDA",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212734",
            "telephone_number": "956-504-6019",
            "fax_number": "956-504-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CASA LINDA",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785212734",
            "telephone_number": "956-504-6019",
            "fax_number": "956-504-6019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY RESIDENTIAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALLEN-BRAY",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "C.E.O.",
        "authorized_official_telephone_number": "956-547-9983",
        "authorized_official_name_prefix": "Mrs."
    },
    "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": []
}

Other providers in Brownsville, TX

Sources for this page

  • 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.