Berachah Valley Corporation

LBN: Berachah Valley Corporation
Berachah Valley Corporation is an health care organization with primary practice located at 1505 Mccreight St , Bastrop LA 71220-2454. The organization recently has only one registered license in Nursing Service Related Providers / Personal Care Attendant, which is considered as the primary health care specialty. Berachah Valley Corporation can be contacted via phone (318) 757-9718, or through Burress, Phillis Creek via phone (318) 757-9718.

Contact Information

Primary practice address
1505 Mccreight St Bastrop LA 71220-2454
Fax: (318) 757-0144
Website:
Authorized official contact:
Name: Burress, Phillis Creek

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Personal Care Attendant 3747P1801X PCA6676 Louisiana

Profile Details

NPI number 1033230594
LBN Legal business name Berachah Valley Corporation
DBA Doing business as
Authorized official Burress, Phillis Creek
Entity Organization
Organization subpart 1 No
Enumeration date Apr 3rd, 2007
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033230594 NPPES
Louisiana MEDICAID 1519111

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