Grand Valley Blvd Opco LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

GRAND VALLEY BLVD OPCO LLC

Doing business as

Recovery Works Martinsville

Practice address

504 Grand Valley Blvd
Martinsville, IN 46151-5883

Phone

(765) 516-6275

NPI assigned

Sep 29, 2026

Last updated

Oct 6, 2026By 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

Mr. Sergio Cruz

Title

Cfo

Phone

(484) 396-2138

Specialties & licenses 3

Addresses

Other names 1

• Recovery Works Martinsville Doing business as

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

{
    "created_epoch": "1790640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1154235091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 N WATERLOO ROAD",
            "address_2": "PO BOX 155",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "19333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 GRAND VALLEY BLVD",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461515883",
            "telephone_number": "765-516-6275"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "516 Grand Valley Blvd",
            "address_purpose": "LOCATION",
            "city": "Martinsville",
            "state": "IN",
            "postal_code": "461515883",
            "country_code": "US",
            "telephone_number": "765-558-2662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GRAND VALLEY BLVD OPCO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-29",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "SERGIO",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "484-396-2138",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Recovery Works Martinsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gentry Martial Arts
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• Jordan Gipe
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• Paula Jean Graber
• Jessica Grant, DC
• Diane Gray
• Mary Claire Greco, APRN
• Cathy Gregory, LMHC
• Nathaniel H Hall, D.D.S.

• Substance Abuse Rehabilitation Facility in Martinsville, IN
• Providers in Martinsville, IN by specialty
• Substance Abuse Rehabilitation Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; 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.