Active NPI
The Valley at Woodlands LLC
Doing business as Pine Valley at the Woodlands
- Assisted Living Facility
- Arnold, MO
National Provider Identifier
1083208193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- THE VALLEY AT WOODLANDS LLC
- Doing business as
- Pine Valley at the Woodlands
- Practice address
- 620 Woodland Meadows Dr
Arnold, MO 63010-2038 - Phone
- (636) 202-1050
- NPI assigned
- Mar 1, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Greg Spence
- Title
- Owner
- Phone
- (314) 267-3725
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
620 Woodland Meadows Dr
Arnold, MO 63010-2038
Mailing address
1749 Gilsinn LN
Fenton, MO 63026-2008
Other names 1
- Pine Valley at the Woodlands
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2178248 | Pine Valley at the Woodlands LLC | Certificate of waiver | Jan 28, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614556800000",
"number": "1083208193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1749 GILSINN LN",
"city": "FENTON",
"state": "MO",
"postal_code": "630262008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 WOODLAND MEADOWS DR",
"city": "ARNOLD",
"state": "MO",
"postal_code": "630102038",
"telephone_number": "636-202-1050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE VALLEY AT WOODLANDS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-01",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A",
"authorized_official_last_name": "SPENCE",
"authorized_official_first_name": "GREG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-267-3725"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pine Valley at the Woodlands",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Arnold, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.