Valley Home Behavioral Health LLC

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

Legal business name

VALLEY HOME BEHAVIORAL HEALTH LLC

Practice address

3142 W Marshall Ave
Phoenix, AZ 85017-2420

Phone

(773) 766-1999

NPI assigned

Oct 19, 2021

Organization subpart

No

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

Authorized official

Name

Peter G Mator Jr.

Title

Owner

Phone

(773) 766-1999

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634601600000",
    "number": "1700549417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3142 W MARSHALL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850172420",
            "telephone_number": "773-766-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3142 W MARSHALL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850172420",
            "telephone_number": "773-766-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HOME BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-19",
        "last_updated": "2021-10-19",
        "certification_date": "2021-10-19",
        "status": "A",
        "authorized_official_last_name": "MATOR",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-766-1999",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nursing Home Administrator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nursing Home Administrator in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Nursing Home Administrator in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; 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.