Organization Active NPI

Valley Ostomy, Inc

  • Durable Medical Equipment & Medical Supplies
  • McAllen, TX
National Provider Identifier
1477514339
Registry record updated Apr 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
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

Updated by the provider on Apr 2, 2011

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
010181802MedicaidTX

Other names 1

  • Lifetime Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Lifetime Health Services2 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.

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.

Verify at the official NPI Registry.