Active NPI
Valley Ostomy, Inc
- Durable Medical Equipment & Medical Supplies
- McAllen, TX
National Provider Identifier
1477514339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- VALLEY OSTOMY, INC
- Practice address
- 3616 W Pecan Blvd
McAllen, TX 78501-3511 - Phone
- (956) 972-0244
- Fax
- (956) 664-9933
- NPI assigned
- Mar 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cesar Ontiveros
- Title
- President
- Phone
- (956) 972-0244
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | TX | Primary |
Addresses
Primary practice location
3616 W Pecan Blvd
McAllen, TX 78501-3511
Mailing address
3616 W Pecan Blvd
McAllen, TX 78501-3511
Phone (956) 972-0244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010181802 | Medicaid | TX |
Other names 1
- Lifetime Health Services
National Provider Directory
National Provider Directory- Tax ID family
- Lifetime Health Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Pharr, TX
- NPI 1174673313
Locations
3616 Pecan Blvd
McAllen, TX 78501
Phone (956) 972-0244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301702400000",
"number": "1477514339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3616 W PECAN BLVD",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785013511",
"telephone_number": "956-972-0244",
"fax_number": "956-664-9933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3616 W PECAN BLVD",
"city": "MCALLEN",
"state": "TX",
"postal_code": "785013511",
"telephone_number": "956-972-0244",
"fax_number": "956-664-9933"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY OSTOMY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-30",
"last_updated": "2011-04-02",
"status": "A",
"authorized_official_last_name": "ONTIVEROS",
"authorized_official_first_name": "CESAR",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "956-972-0244"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010181802",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lifetime Health Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in McAllen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.