Provider Demographics
NPI:1356943948
Name:PEACEFUL VALLEY HOME CARE SENIOR SOLUTIONS LLC
Entity type:Organization
Organization Name:PEACEFUL VALLEY HOME CARE SENIOR SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BURKART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-737-3820
Mailing Address - Street 1:2246 E FOUR CREEKS AVE
Mailing Address - Street 2:
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93292-2400
Mailing Address - Country:US
Mailing Address - Phone:559-737-3820
Mailing Address - Fax:
Practice Address - Street 1:2246 E FOUR CREEKS AVE
Practice Address - Street 2:
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93292-2400
Practice Address - Country:US
Practice Address - Phone:559-737-3820
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care