Provider Demographics
NPI:1154789485
Name:VALENCIA HOME HEALTH CARE, LLC
Entity type:Organization
Organization Name:VALENCIA HOME HEALTH CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:OKESOLA
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:818-464-6827
Mailing Address - Street 1:18333 DOLAN WAY
Mailing Address - Street 2:SUITE 206
Mailing Address - City:CANYON COUNTRY
Mailing Address - State:CA
Mailing Address - Zip Code:91387-5424
Mailing Address - Country:US
Mailing Address - Phone:661-424-9590
Mailing Address - Fax:
Practice Address - Street 1:18333 DOLAN WAY
Practice Address - Street 2:SUITE 206
Practice Address - City:CANYON COUNTRY
Practice Address - State:CA
Practice Address - Zip Code:91387-5424
Practice Address - Country:US
Practice Address - Phone:661-424-9590
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-01
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA163WH0200X251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health