Provider Demographics
NPI:1417754490
Name:VALLEY HOME CARE LLC
Entity type:Organization
Organization Name:VALLEY HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DENSTAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:531-218-5221
Mailing Address - Street 1:8111 N 281ST AVE
Mailing Address - Street 2:
Mailing Address - City:VALLEY
Mailing Address - State:NE
Mailing Address - Zip Code:68064-8024
Mailing Address - Country:US
Mailing Address - Phone:531-218-5221
Mailing Address - Fax:
Practice Address - Street 1:18011 DREXEL ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68135-1824
Practice Address - Country:US
Practice Address - Phone:531-218-5221
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-27
Last Update Date:2025-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health