NPIMap

Organization Active NPI

Valerieanne and Floyd, Inc.

Doing business as Elite Home Health

  • Home Health Agency
  • Longview, TX
National Provider Identifier
1932263787
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
011104 Issued in TX
Legal business name
VALERIEANNE AND FLOYD, INC.
Doing business as
Elite Home Health
Practice address
905 N 4TH St
Longview, TX 75601-5435
Phone
(903) 212-3990
Fax
(903) 212-3991
NPI assigned
Dec 19, 2006
Last updated
Jun 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Authorized official

Name
John Craig
Title
Ceo/Owner
Phone
(903) 452-4336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 011104 TX Primary

Addresses

Primary practice location

905 N 4TH St
Longview, TX 75601-5435

Mailing address

905 N 4TH St
Longview, TX 75601-5435
Phone (903) 212-3990

Other names 1

  • Elite Home Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080407000549 TX Part A Provider - Home Health Agency 4587741178 Practice locations: Longview, TX

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1932263787. Details of each certification follow.

Home health agency certification: CCN 453182

Legal name
VALERIEANNE AND FLOYD, INC
Doing business as
ELITE HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 3, 2004
Last certification
Nov 20, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 31, 2012 in TX
Enrollment address
905 N 4TH St
Longview, TX 75601

Care Compare: Home health agency

Medicare Care Compare
Listed as
Elite Home HealthCCN 453182 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Nov 3, 2004
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1073559Elite Home Health905 N Fourth Street, Longview, TX 75601Certificate of waiverSep 10, 2027

National Provider Directory

National Provider Directory

Locations

905 N 4th St
Longview, TX 75601
Phone (903) 553-0004

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John Craig Individual 5% Or Greater Direct Ownership Interest Jul 31, 2012 40%
W-2 Managing Employee Jul 31, 2012
Coy Jones Individual 5% Or Greater Direct Ownership Interest Jul 31, 2012
Corporate Director Jul 31, 2012

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 14

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1166486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466640000000",
    "number": "1932263787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "905 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015435",
            "telephone_number": "903-212-3990",
            "fax_number": "903-212-3991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015435",
            "telephone_number": "903-212-3990",
            "fax_number": "903-212-3991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALERIEANNE AND FLOYD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-19",
        "last_updated": "2016-06-23",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "903-452-4336"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TX",
            "license": "011104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.