Provider Demographics
NPI:1659241073
Name:LAS VALDEZ HOME CARE
Entity type:Organization
Organization Name:LAS VALDEZ HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:GISSELL
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-428-8135
Mailing Address - Street 1:98 PARROW ST APT 211
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07050-3836
Mailing Address - Country:US
Mailing Address - Phone:201-725-1803
Mailing Address - Fax:201-725-1803
Practice Address - Street 1:98 PARROW ST APT 211
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:NJ
Practice Address - Zip Code:07050-3836
Practice Address - Country:US
Practice Address - Phone:201-428-8135
Practice Address - Fax:201-428-8135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-10
Last Update Date:2025-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health