- Enrollment id
- O20100703000032
- Enrollment state
- NJ
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1174588925
- Multiple npi flag
- N
- Ccn
- 317008
- Associate id
- 5991833105
- Organization name
- VALLEY HOME CARE INC.
- Doing business as name
- VALLEY HOSPICE
- Incorporation date
- 1986-01-24
- Incorporation state
- NJ
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 15 ESSEX RD 301
- City
- PARAMUS
- State
- NJ
- Zip code
- 076521457
- Practice location type
- HHA BRANCH