Organization 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
Registry record updated Aug 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
349 Issued in WI
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, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
SPRING VALLEY HEALTH CARE SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 27, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
43110000MedicaidWI
349OtherWIHOME HEALTH AGENCY STATE LICENSURE

Other names 1

  • Spring Valley Home Health Sevices Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Spring Valley Health Care Services Inc2 organizations share this tax ID, including this one
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.

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

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.

Verify at the official NPI Registry.