Moberly Health Care LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MOBERLY HEALTH CARE LLC

Doing business as

Valley View Health & Rehabilitation

Practice address

1600 E Rollins St
Moberly, MO 65270-2478

Phone

(660) 263-6887

Fax

(660) 263-8823

NPI assigned

Sep 5, 2013

Last updated

May 16, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kam McGavock

Title

President

Phone

(410) 773-1000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Valley View Health & Rehabilitation Doing business as

Locations

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

{
    "created_epoch": "1378339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1144655499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390",
            "telephone_number": "410-773-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E ROLLINS ST",
            "city": "MOBERLY",
            "state": "MO",
            "postal_code": "652702478",
            "telephone_number": "660-263-6887",
            "fax_number": "660-263-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBERLY HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-05",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "MCGAVOCK",
        "authorized_official_first_name": "KAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-773-1000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102385002",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley View Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lorna Dean Miles, CHW, MRSS-P, MAADCII
• Emily Sarah Minor
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• Skilled Nursing Facility in Moberly, MO
• Providers in Moberly, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.