Valley Health Enterprises, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

203000246 Issued in IL

Legal business name

VALLEY HEALTH ENTERPRISES, INC.

Practice address

1319 4TH St
Peru, IL 61354-3630

Phone

(815) 220-1682

Fax

(815) 220-1685

NPI assigned

Oct 21, 2005

Organization subpart

Yes

Parent organization

VALLEY HEALTH ENTERPRISESAs reported in NPPES

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

Authorized official

Name

Mr. Stephen M Davis

Title

Chief Financial Officer

Phone

(815) 223-3300

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Home Medical Equipment Doing business as

Part of

Valley Health Enterprise

Locations

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

{
    "created_epoch": "1129852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336089600000",
    "number": "1801886809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 4TH ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613543630",
            "telephone_number": "815-220-1682",
            "fax_number": "815-220-1685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 4TH ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613543630",
            "telephone_number": "815-220-1682",
            "fax_number": "815-220-1685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HEALTH ENTERPRISES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY HEALTH ENTERPRISES",
        "enumeration_date": "2005-10-21",
        "last_updated": "2012-05-04",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "815-223-3300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "203000246",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "05019559",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Home Medical Equipment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Two Harbors Integrative Healthcare, LLC
• United Physical Therapy, LLC
• Laura Beth Urbanski, RPH
• James Vaiana, DDS
• Valley Health Enterprise
• Valley Regional Health Services L3C
• Jason James Vance, PT, DPT, COMT
• Michelle Vasquez, MD
• Vep Il Optometric LLC
• Angela Marie Vezzetti, PA-C

• Durable Medical Equipment & Medical Supplies in Peru, IL
• Providers in Peru, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2012; 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.