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VALLEY RESIDENTIAL SERVICES INC.
NPI 1104235811
Assisted Living Facility in Herkimer, NY

Active since August 06, 2014CLIA 33D2128285 · Waiver
161 VALLEY DRIVE, HERKIMER, NY 13350(315) 219-5700(315) 866-0016 Get Directions Write a Review

NPPES record last updated: December 11, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Valley Residential Services Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VALLEY RESIDENTIAL SERVICES INC. (NPI 1104235811) is a healthcare organization registered as an assisted living facility in Herkimer, New York and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Lisa M. Betrus, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104235811
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameVALLEY RESIDENTIAL SERVICES INC.
Location Address161 VALLEY DRIVEHerkimer, NY 13350-2135
Mailing Address690 W German StHerkimer, NY 13350-2135 · (315) 866-3330 · Fax (315) 866-6546
Phone(315) 219-5700
Fax(315) 866-0016
Organization SubpartYesParent: Valley Health Services Inc.
Authorized OfficialLisa M. BetrusCeo · (315) 866-3330
Enumeration DateAugust 6, 2014
Last NPPES UpdateDecember 11, 2015
✔ NPI 1104235811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
161 VALLEY DRIVE, Herkimer, NY 13350
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2128285

Valley Residential Services Inc · Herkimer, NY
Active · expires Mar 26, 2027
CLIA Number33D2128285
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 28, 2017
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Colette T. Tangel
Laboratory Phone(315) 219-5700
Laboratory LocationValley Residential Services Inc161 Valley Drive, Herkimer, NY 13350
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Valley Residential Services Inc.'s NPI number?

The NPI number for Valley Residential Services Inc. is 1104235811. It was assigned to this organization in the NPPES registry on August 6, 2014.

Where is Valley Residential Services Inc. located?

Valley Residential Services Inc. is located at 161 Valley Drive, Herkimer, NY 13350. The listed phone number is (315) 219-5700.

What is Valley Residential Services Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Valley Residential Services Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2128285) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Valley Residential Services Inc. was last updated on December 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.