NPIMap

Organization Active NPI

Orem Healthcare LLC Dba Sun Valley Adult Care Center

  • Respite Care
  • Belleville, IL
National Provider Identifier
1083736763
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
632 Issued in MO
Legal business name
OREM HEALTHCARE LLC DBA SUN VALLEY ADULT CARE CENTER
Practice address
3452 Middlebury Way
Belleville, IL 62221-3372
Phone
(314) 868-2232
Fax
(314) 868-8075
NPI assigned
Apr 4, 2007
Last updated
Mar 10, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Romana Aftab
Title
Ceo
Phone
(618) 698-3479

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Respite Care 385H00000X 632 MO Primary

Addresses

Primary practice location

3452 Middlebury Way
Belleville, IL 62221-3372

Mailing address

1000 Saint Cyr Rd
Saint Louis, MO 63137-1733
Phone (314) 868-2232

Other identifiers 1

IdentifierTypeStateIssuer
293895702MedicaidMO

National Provider Directory

National Provider Directory
Tax ID family
Orem Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1083736763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 SAINT CYR RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631371733",
            "telephone_number": "314-868-2232",
            "fax_number": "314-868-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3452 MIDDLEBURY WAY",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622213372",
            "telephone_number": "314-868-2232",
            "fax_number": "314-868-8075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OREM HEALTHCARE LLC DBA SUN VALLEY ADULT CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "AFTAB",
        "authorized_official_first_name": "ROMANA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "618-698-3479"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MO",
            "license": "632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "293895702",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.