Valley Healthcare Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

040000161 Issued in CA

Legal business name

VALLEY HEALTHCARE CENTER, LLC

Doing business as

Valley Healthcare Center

Practice address

4840 E Tulare Ave
Fresno, CA 93727-3062

Phone

(559) 251-7161

Fax

(559) 251-3010

NPI assigned

Oct 11, 2005

Last updated

Jan 27, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

SUMMIT CARE LLCAs reported in NPPES

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

Authorized official

Name

Michael T. Berg

Title

Assistant Secretary

Phone

(505) 468-4752

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Valley Healthcare Center Doing business as

Locations

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453852800000",
    "number": "1508854795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 E TULARE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937273062",
            "telephone_number": "559-251-7161",
            "fax_number": "559-251-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 E TULARE AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937273062",
            "telephone_number": "559-251-7161",
            "fax_number": "559-251-3010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HEALTHCARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT CARE LLC",
        "enumeration_date": "2005-10-11",
        "last_updated": "2016-01-27",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-468-4752"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "040000161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06225G",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR06225F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valley Dialysis Access Surgery Associates, Inc.
• Valley Dream Center
• Valley Foot and Ankle Specialty Providers, Inc. (Valley Podiatric Wound Care)
• Valley Health Management
• Valley Health Team Inc. (Central Fresno Community Health Center)
• Valley Healthcare Center, LLC
• Valley Housecalls, Inc.
• Valley Kidney Medical Group Inc
• Valley Medical Pharmacy (Manor Drug LTC)
• Valley Medical Pharmacy (Manor Drug Medical & Mobility)

• Skilled Nursing Facility in Fresno, CA
• Providers in Fresno, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2016; 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.