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SPRING VALLEY LIVING LLC NPI 1710265301


NPI Information

NPI: 1710265301
Provider Name: SPRING VALLEY LIVING LLC

Former Legal Business Name: JUA VALLEY

Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

CLIA Number: 34D2244968

Address:
2141 EAST GEER ST
DURHAM, NC
ZIP 27704
Phone: (866) 654-1113
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SPRING VALLEY LIVING LLC is an adult care home custodial care facility in Durham, NC. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. SPRING VALLEY LIVING LLC NPI is 1710265301. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Jua Valley.

The provider's business location address is:

2141 EAST GEER ST
DURHAM, NC
ZIP 27704
Phone: (866) 654-1113
Fax: (919) 439-0222

The provider's authorized official is Kanisha Conrad Dickens .
The authorized official title is Owner and has the following contact phone number (919) 225-0167.

The CLIA number assigned to this NPI record is 34D2244968 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/29/2011 and was last updated on 11/16/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1385H00000XRespite CareFCL-032-110NORTH CAROLINANo
2311ZA0620XCustodial Care FacilityAdult Care HomeFCL-032-110NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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