Provider Demographics
NPI:1861766388
Name:VALLEY HOME SERVICES, INC D/B/A/ COLUMBINE CAREGIVERS
Entity type:Organization
Organization Name:VALLEY HOME SERVICES, INC D/B/A/ COLUMBINE CAREGIVERS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:MCCORMICK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-210-2246
Mailing Address - Street 1:PO BOX 4358
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81502-4358
Mailing Address - Country:US
Mailing Address - Phone:970-210-2246
Mailing Address - Fax:970-628-1782
Practice Address - Street 1:602 26 1/2 RD
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81506-1905
Practice Address - Country:US
Practice Address - Phone:970-210-2246
Practice Address - Fax:970-628-1782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-01
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO04R290251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health