Rheem Valley Healthcare, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

RHEEM VALLEY HEALTHCARE, LLC

Doing business as

Rheem Valley Convalescent Hospital

Practice address

348 Rheem Blvd
Moraga, CA 94556-1516

Phone

(925) 376-5995

Fax

(925) 376-2707

NPI assigned

Jan 19, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Perry Byron Defoor

Title

Owner

Phone

(423) 308-1845

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rheem Valley Convalescent Hospital Doing business as

Locations

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473292800000",
    "number": "1225369002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BROAD ST",
            "address_2": "SUITE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374022671",
            "telephone_number": "423-308-1845",
            "fax_number": "423-308-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 RHEEM BLVD",
            "city": "MORAGA",
            "state": "CA",
            "postal_code": "945561516",
            "telephone_number": "925-376-5995",
            "fax_number": "925-376-2707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEEM VALLEY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2016-09-08",
        "status": "A",
        "authorized_official_last_name": "DEFOOR",
        "authorized_official_first_name": "PERRY",
        "authorized_official_middle_name": "BYRON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-308-1845",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "055085",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rheem Valley Convalescent Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paddy Rose Poupeney, MFT
• Professional Eyecare Optometry
• Michael Raffee
• Randall Rasmussen, M.D.
• Rheem Specialty Pharmacy, LLC
• Anna Frenklach Rief, M.D.
• Kevin C Robell, MA ATC EMT
• Jennifer E Roberts, MD
• Armando Rodriguez Iniguez
• Elisa Russell, DDS

• Skilled Nursing Facility in Moraga, CA
• Providers in Moraga, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2016; 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.