Organization Active NPI

Valley Villas, LLC

Doing business as Valley Villas Assisted Living

  • Assisted Living Facility
  • Spring Valley, WI
National Provider Identifier
1982913240
Registry record updated Oct 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
0013449 Issued in WI
Legal business name
VALLEY VILLAS, LLC
Doing business as
Valley Villas Assisted Living
Practice address
S820 Westland Dr
Spring Valley, WI 54767-8241
Phone
(715) 778-5535
Fax
(715) 778-5540
NPI assigned
Oct 4, 2010
Last updated
Oct 4, 2010By the provider in NPPES
Organization subpart
Yes
Parent organization
SPRING VALLEY HEALTH CARE SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2010

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

Authorized official

Name
Mr. Kevin H. Larson, CNHA, BSHCA
Title
Administrator/Ceo
Phone
(715) 778-5545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 0013449 WI Primary

Addresses

Primary practice location

S820 Westland Dr
Spring Valley, WI 54767-8241

Mailing address

S820 Westland Dr
Spring Valley, WI 54767-8241
Phone (715) 778-5535

Other names 1

  • Valley Villas Assisted Living Doing business as

National Provider Directory

National Provider Directory
Part of
Midwest Physical Therapy

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.

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286150400000",
    "number": "1982913240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "S820 WESTLAND DR",
            "city": "SPRING VALLEY",
            "state": "WI",
            "postal_code": "547678241",
            "telephone_number": "715-778-5535",
            "fax_number": "715-778-5540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "S820 WESTLAND DR",
            "city": "SPRING VALLEY",
            "state": "WI",
            "postal_code": "547678241",
            "telephone_number": "715-778-5535",
            "fax_number": "715-778-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VILLAS, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPRING VALLEY HEALTH CARE SERVICES, INC.",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "ADMINISTRATOR/CEO",
        "authorized_official_telephone_number": "715-778-5545",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CNHA, BSHCA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "WI",
            "license": "0013449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Villas Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Spring Valley, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.