Provider Demographics
NPI:1811978893
Name:HOSPICE OF THE VALLEY, INC.
Entity type:Organization
Organization Name:HOSPICE OF THE VALLEY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBBIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:HEARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-350-5585
Mailing Address - Street 1:P.O. BOX 2745
Mailing Address - Street 2:240 JOHNSTON ST. SE
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35602
Mailing Address - Country:US
Mailing Address - Phone:256-350-5585
Mailing Address - Fax:256-350-3769
Practice Address - Street 1:240 JOHNSTON ST SE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-2516
Practice Address - Country:US
Practice Address - Phone:256-350-5585
Practice Address - Fax:256-350-3769
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-08
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10261251G00000X
251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL010661OtherBLUE CROSS
ALPIC1511EMedicaid
011511Medicare PIN