Valley Street Operating Company LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VALLEY STREET OPERATING COMPANY LLC

Practice address

520 Valley St
Statesville, NC 28677-7935

Phone

(704) 519-2500

NPI assigned

Jan 3, 2024

Organization subpart

No

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

Authorized official

Name

Yosef Emanuel

Title

Member

Phone

(917) 745-7945

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1437929346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 VALLEY ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286777935",
            "telephone_number": "704-519-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 VALLEY ST",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286777935",
            "telephone_number": "704-519-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY STREET OPERATING COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "EMANUEL",
        "authorized_official_first_name": "YOSEF",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-745-7945"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elias David Ruiz Valdez, MD
• Amy M Valencia
• Jan Susan Valentine
• Vallereux Counseling Services, PC
• Sallie D Vallereux, LPC, LCAS
• Ted Vance, MD
• Katie Vang
• Lisa Vang
• Tasha Marie Vangile, FNP-C
• Candice Vanhoose, LPN

• Skilled Nursing Facility in Statesville, NC
• Providers in Statesville, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 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.