Active NPI
Spring Valley Health Care Services, Inc.
Doing business as Spring Valley Home Health Sevices
- Home Health Agency
- Spring Valley, WI
National Provider Identifier
1639326176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 349
- Legal business name
- SPRING VALLEY HEALTH CARE SERVICES, INC.
- Doing business as
- Spring Valley Home Health Sevices
- Practice address
- W500 State Road 29
Spring Valley, WI 54767-9031 - Phone
- (715) 778-5045
- Fax
- (715) 778-4516
- NPI assigned
- Aug 27, 2008
- Last updated
- Aug 27, 2008
- Organization subpart
- Yes
- Parent organization
- SPRING VALLEY HEALTH CARE SERVICES, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Kevin H Larson, CNHA
- Title
- Administrator/Ceo
- Phone
- (715) 778-5545
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 349 | WI | Primary |
Addresses
Primary practice location
W500 State Road 29
Spring Valley, WI 54767-9031
Mailing address
W500 State Road 29
Spring Valley, WI 54767-9031
Phone (715) 778-5045
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43110000 | Medicaid | WI | |
| 349 | Other | WI | HOME HEALTH AGENCY STATE LICENSURE |
Other names 1
- Spring Valley Home Health Sevices
National Provider Directory
National Provider Directory- Tax ID family
- Spring Valley Health Care Services Inc
- Part of
- Spring Valley Health Care Services Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Spring Valley, WI
- NPI 1356631741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219795200000",
"number": "1639326176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "W500 STATE ROAD 29",
"city": "SPRING VALLEY",
"state": "WI",
"postal_code": "547679031",
"telephone_number": "715-778-5045",
"fax_number": "715-778-4516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W500 STATE ROAD 29",
"city": "SPRING VALLEY",
"state": "WI",
"postal_code": "547679031",
"telephone_number": "715-778-5045",
"fax_number": "715-778-4516"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SPRING VALLEY HEALTH CARE SERVICES, INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SPRING VALLEY HEALTH CARE SERVICES, INC.",
"enumeration_date": "2008-08-27",
"last_updated": "2008-08-27",
"status": "A",
"authorized_official_last_name": "LARSON",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "ADMINISTRATOR/CEO",
"authorized_official_telephone_number": "715-778-5545",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "CNHA"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "WI",
"license": "349",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "43110000",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HOME HEALTH AGENCY STATE LICENSURE",
"identifier": "349",
"state": "WI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Spring Valley Home Health Sevices",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Spring Valley, WI
- Spring Valley Area Ambulance Service Inc
- Spring Valley Area Emergency Services Corporation Spring Valley Fire D (Spring Valley Area Ambulance)
- Spring Valley Dentistry Inc.
- Spring Valley Drug, Inc
- Spring Valley Health Care Services, Inc. (Spring Valley Health and Rehabilitation Center)
- Jessica Mary Stoiber, AGACNP-BC
- Valley Villas, LLC (Valley Villas Assisted Living)
- Village of Spring Valley (Spring Valley Health and Rehabilitation Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.