Active NPI
Valley Living Solutions LLC
- In Home Supportive Care Agency
- Hattiesburg, MS
National Provider Identifier
1861101958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | care@valleylivingsolutions.com | Direct |
National Provider Directory
National Provider DirectoryNPI 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.