NPIMap

Organization Active NPI

Green Valley SNF LLC

Doing business as Pinnacle Rehab & Health Center

  • Skilled Nursing Facility
  • Smyrna, DE
National Provider Identifier
1124081278
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1160 Issued in DE
Legal business name
GREEN VALLEY SNF LLC
Doing business as
Pinnacle Rehab & Health Center
Practice address
3034 S Dupont Blvd
Smyrna, DE 19977-1898
Phone
(302) 653-5085
NPI assigned
Apr 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Authorized official

Name
Faige Shoshana
Title
Director of Contracting
Phone
(732) 551-4803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1160 DE Primary

Addresses

Primary practice location

3034 S Dupont Blvd
Smyrna, DE 19977-1898

Mailing address

400 Rella Blvd Ste 200
Montebello, NY 10901-4239

Other identifiers 3

IdentifierTypeStateIssuer
0001088512MedicaidDE
155A20OtherBLUE CROSS
0001088411MedicaidDE

Other names 1

  • Pinnacle Rehab & Health Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1124081278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RELLA BLVD STE 200",
            "city": "MONTEBELLO",
            "state": "NY",
            "postal_code": "109014239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3034 S DUPONT BLVD",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "199771898",
            "telephone_number": "302-653-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN VALLEY SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "SHOSHANA",
        "authorized_official_first_name": "FAIGE",
        "authorized_official_title_or_position": "DIRECTOR OF CONTRACTING",
        "authorized_official_telephone_number": "732-551-4803"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "DE",
            "license": "1160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001088512",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "155A20",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001088411",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pinnacle Rehab & Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pinnacle Rehab & Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smyrna, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.