Provider Demographics
NPI:1598383309
Name:VALLEY RIDGE HOME HEALTH LLC
Entity type:Organization
Organization Name:VALLEY RIDGE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:AVI
Authorized Official - Middle Name:
Authorized Official - Last Name:BISTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-445-8384
Mailing Address - Street 1:10 HICKOK ST STE 200
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24073-3569
Mailing Address - Country:US
Mailing Address - Phone:540-443-6111
Mailing Address - Fax:
Practice Address - Street 1:53 W MAIN ST
Practice Address - Street 2:
Practice Address - City:CHRISTIANSBURG
Practice Address - State:VA
Practice Address - Zip Code:24073-2941
Practice Address - Country:US
Practice Address - Phone:540-443-6111
Practice Address - Fax:540-552-1510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-08
Last Update Date:2025-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health