Valencia Lynn Nicholas
In Home Supportive Care in Surprise, AZ. Individual provider (NPI-1).
NPI number1962070649
StatusActive
Last updated in NPPESJun 17, 2021
Details
- NPI
- 1962070649
- Entity type
- Individual (NPI-1)
- Name
- Ms. Valencia Lynn Nicholas
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 17, 2021
- Certification date
- Jun 17, 2021
- Last updated
- Jun 17, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
| 376J00000X | Homemaker | – | – | |
| 376K00000X | Nurse's Aide | – | – | |
| 385H00000X | Respite Care | – | – |
Practice location
16269 N 177th DrSurprise, AZ 85388-3105
Phone 267-467-8782
Mailing address
8194 W Deer Valley Rd Ste 106-550Peoria, AZ 85382-2127
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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