Organization Active NPI

Valley Home Care Inc.

  • Community Based Hospice Care Agency
  • Paramus, NJ
National Provider Identifier
1457316770
Registry record updated Feb 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
22376 Issued in NJ
Legal business name
VALLEY HOME CARE INC.
Practice address
15 Essex Rd
Paramus, NJ 07652-1451
Phone
(201) 291-6000
Fax
(201) 291-6260
NPI assigned
Apr 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2022

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

Authorized official

Name
Josette Portalatin
Title
Avp
Phone
(201) 291-6017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 22376 NJ Primary

Addresses

Primary practice location

15 Essex Rd
Paramus, NJ 07652-1451

Mailing address

15 Essex Rd
Paramus, NJ 07652-1451
Phone (201) 291-6000

Other identifiers 1

IdentifierTypeStateIssuer
0096601MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100510000322 NJ Part A Provider - Hospice 5991833105 Practice locations: Paramus, NJ

Hospice certification: CCN 311522

Legal name
VALLEY HOME CARE INC.
Doing business as
VALLEY HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 31, 1987
Last certification
Jun 8, 2022
Ownership / control type
Non-Profit - Private
Organization structure
CorporationNon-profit
Incorporated
Jan 24, 1986 in NJ
Enrollment address
15 Essex Rd 301
Paramus, NJ 07652-1457

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Hospice

Medicare Care Compare
Listed as
Valley HospiceCCN 311522
Ownership
Other
Certified
Dec 31, 1987
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Valley Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Michelle Restrepo Individual W-2 Managing EmployeeManager, Contracting & Analytics May 21, 2018 5%
Donald E Strangfeld Individual Corporate DirectorBoard of Trustees Jun 4, 2015
Kathryn Yeomans Individual Corporate DirectorBoard of Trustee Jun 5, 2014
Denise Ratcliffe Individual Corporate DirectorBoard of Trustee Jun 5, 2008
Paulette Laurenzi Individual Corporate DirectorBoard of Trustee Jun 1, 2011
Barry Poskanzer Individual Corporate DirectorBoard of Trustee Jun 4, 2015
Kathleen Burke Individual Corporate DirectorBoard of Trustee Jun 2, 2011
David F Ludwig Individual Corporate DirectorBoard of Trustee Jun 2, 2016
Cynthia J Halaby Individual Corporate DirectorBoard of Trustees Jun 7, 2012
Steven L Nickles Individual Corporate DirectorBoard of Trustee Jun 6, 2013
Anne Goheen Crane Individual Corporate DirectorBoard of Trustee Jun 5, 2014
Robert W Brenner Individual Corporate DirectorBoard of Trustees Jun 2, 2016
Josette Portalatin Individual Corporate OfficerAvp Revenue Cycle Nov 1, 2020 5%
John W Albohm Individual Corporate DirectorBoard of Trustees Jun 2, 2016

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645401600000",
    "number": "1457316770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ESSEX RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521451",
            "telephone_number": "201-291-6000",
            "fax_number": "201-291-6260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 ESSEX RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521451",
            "telephone_number": "201-291-6000",
            "fax_number": "201-291-6260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2022-02-21",
        "certification_date": "2022-02-21",
        "status": "A",
        "authorized_official_last_name": "PORTALATIN",
        "authorized_official_first_name": "JOSETTE",
        "authorized_official_title_or_position": "AVP",
        "authorized_official_telephone_number": "201-291-6017"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NJ",
            "license": "22376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0096601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.