Blessed Vally LLC

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

Legal business name

BLESSED VALLY LLC

Doing business as

Blessed vally residence

Practice address

12933 SW 197TH St
Miami, FL 33177-4808

Phone

(786) 443-0472

NPI assigned

Nov 3, 2023

Last updated

Nov 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Vally Bastien, CNA

Title

Ceo

Phone

(786) 443-0472

Specialties & licenses 1

Addresses

Other names 1

• Blessed vally residence Doing business as

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

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1770356479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12933 SW 197TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331774808",
            "telephone_number": "786-443-0472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12933 SW 197TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331774808",
            "telephone_number": "786-443-0472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLESSED VALLY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-03",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "BASTIEN",
        "authorized_official_first_name": "VALLY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-443-0472",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blessed vally residence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Home Health Registered Nurse in Miami, FL
• Providers in Miami, FL by specialty
• Home Health Registered Nurse in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; 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.