VALLIANT HOUSE, LLC – NPI #1104030402
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Health Care Provider Taxonomy Code for Substance Abuse Rehabilitation Facility

VALLIANT HOUSE, LLC is a substance abuse rehabilitation facility located in VALLIANT, OK. NPPES has assigned the NPI number 1104030402 to VALLIANT HOUSE, LLC on May 09, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was previously updated about 2 years ago on Mar 28, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VALLIANT HOUSE, LLC below.

NPI Profile for
VALLIANT HOUSE, LLC

NPI Number
1104030402
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VALLIANT HOUSE, LLC
Primary location
300 N. DALTON AVE
VALLIANT, OK 74764
Phone: (580) 203-3600 Fax: (833) 402-9799
Mailing address
PO BOX 673
VALLIANT, OK 74764-0673
Phone: (580) 203-3600 Fax: (833) 402-9799
Organization Subpart
No
Authorized Official
LISA MEREDITH
EXECUTIVE DIRECTOR
Phone: (580) 212-0625
Updated
Certification Date
Mar 28, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.