Provider Demographics
NPI: | 1427576040 |
---|---|
Name: | VALOR HEALTH, INC. |
Entity type: | Organization |
Organization Name: | VALOR HEALTH, INC. |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | NURSE PRACTITIONER |
Authorized Official - Prefix: | MS |
Authorized Official - First Name: | OLOLADE |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | ADEKOYA |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | NP |
Authorized Official - Phone: | 240-223-0633 |
Mailing Address - Street 1: | 7845 OAKWOOD RD STE 205 |
Mailing Address - Street 2: | |
Mailing Address - City: | GLEN BURNIE |
Mailing Address - State: | MD |
Mailing Address - Zip Code: | 21061-4257 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 240-223-0633 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 7845 OAKWOOD RD STE 205 |
Practice Address - Street 2: | |
Practice Address - City: | GLEN BURNIE |
Practice Address - State: | MD |
Practice Address - Zip Code: | 21061-4257 |
Practice Address - Country: | US |
Practice Address - Phone: | 240-223-0633 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2017-09-04 |
Last Update Date: | 2025-02-14 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 261QM1300X | Ambulatory Health Care Facilities | Clinic/Center | Multi-Specialty | |
No | 221700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Art Therapist | Group - Multi-Specialty | |
No | 225700000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Massage Therapist | Group - Multi-Specialty | |
No | 225A00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Music Therapist | Group - Multi-Specialty | |
No | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | ||
No | 253Z00000X | Agencies | In Home Supportive Care | ||
No | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | |
No | 311Z00000X | Nursing & Custodial Care Facilities | Custodial Care Facility | ||
No | 320800000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Mental Illness | ||
No | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | ||
No | 385H00000X | Respite Care Facility | Respite Care | ||
No | 385HR2060X | Respite Care Facility | Respite Care | Respite Care, Intellectual and/or Developmental Disabilities, Child |