Valley Grande SCC LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

VALLEY GRANDE SCC LLC

Doing business as

SCC at Valley Grande

Practice address

901 Wildrose LN
Brownsville, TX 78520-8816

Phone

(956) 546-4568

Fax

(956) 546-2517

NPI assigned

May 22, 2015

Last updated

Sep 4, 2020By 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

Jason Price

Title

Senior Vice President

Phone

(949) 436-4343

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• SCC at Valley Grande Doing business as

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1194104190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 WILDROSE LN",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208816",
            "telephone_number": "956-546-4568",
            "fax_number": "956-545-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 WILDROSE LN",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785208816",
            "telephone_number": "956-546-4568",
            "fax_number": "956-546-2517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY GRANDE SCC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-22",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "SENIOR VICE PRESIDENT",
        "authorized_official_telephone_number": "949-436-4343"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001026961",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VENDOR ID/FACILITY ID",
            "identifier": "005002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SCC at Valley Grande",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SCC at Valley Grande",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valley Dental PA
• Valley Doctors Clinic of Brownsville PLLC
• Valley Express DME LLC
• Valley Foot and Ankle Associates PA
• Valley Grande Manor Inc
• Valley Healing Hands LLC
• Valley Hearing Services Corporation
• Valley Hemorrhoid Clinic, P.a.
• Valley House Doctors PLLC
• Valley Injury Clinic

• Skilled Nursing Facility in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.