Organization Active NPI

Valley Living Solutions LLC

  • In Home Supportive Care Agency
  • Hattiesburg, MS
National Provider Identifier
1861101958
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
VALLEY LIVING SOLUTIONS LLC
Practice address
1507 Hardy St Ste 104
Hattiesburg, MS 39401-4978
Phone
(601) 255-1626
NPI assigned
Nov 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Authorized official

Name
Quinn Marie Gordon, BSBA, NASMCPT
Title
Manager
Phone
(601) 506-1953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1507 Hardy St Ste 104
Hattiesburg, MS 39401-4978

Mailing address

116 Brookwood LN
Hattiesburg, MS 39401-5763
Phone (601) 255-1626

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address care@valleylivingsolutions.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1668643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668643200000",
    "number": "1861101958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BROOKWOOD LN",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394015763",
            "telephone_number": "601-255-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 HARDY ST STE 104",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394014978",
            "telephone_number": "601-255-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY LIVING SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-17",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "QUINN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "601-506-1953",
        "authorized_official_credential": "BSBA, NASMCPT"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "care@valleylivingsolutions.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1507 Hardy St Ste 104",
            "city": "Hattiesburg",
            "state": "MS",
            "country_code": "US",
            "postal_code": "394014978",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2022; 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.