New Green Valley Health & Rehabilitation Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100494 Issued in KY

Legal business name

NEW GREEN VALLEY HEALTH & REHABILITATION CENTER, LLC

Doing business as

Green Valeey Health & Rehabilitation Center

Practice address

1206 11TH St
Carrollton, KY 41008-9704

Phone

(502) 732-6683

Fax

(502) 732-0330

NPI assigned

Oct 17, 2005

Last updated

Mar 24, 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

Mr. Alan Wade

Title

Administrator

Phone

(502) 732-6683

Specialties & licenses 1

Addresses

Other names 1

• Green Valeey Health & Rehabilitation Center Doing business as

Tax ID family

Green Valeey Health Rehabilitation Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• LP Carrollton, LLC

  dba Signature Healthcare of Carrollton Rehab & Wellness Center

  • Skilled Nursing Facility
  • Carrollton, KY
  • NPI 1134599525
  NPD tax ID

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395619200000",
    "number": "1235128901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 11TH ST",
            "city": "CARROLLTON",
            "state": "KY",
            "postal_code": "410089704",
            "telephone_number": "502-732-6683",
            "fax_number": "502-732-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 11TH ST",
            "city": "CARROLLTON",
            "state": "KY",
            "postal_code": "410089704",
            "telephone_number": "502-732-6683",
            "fax_number": "502-732-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW GREEN VALLEY HEALTH & REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2014-03-24",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "502-732-6683",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KY",
            "license": "100494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Valeey Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jerika Lynn Mefford, RBT
• David Scott Miller, M.D.
• Farooq A Mirza, M.D.
• Mortenson Family Dental Center- Carrollton PLLC
• Mystyk River Retreat Center, LLC
• John Thornton Newcomb, DMD
• Norton King's Daughters' Health Inc (Kings Daughters Health)
• Sherrell W Nunnelley II, M.D.
• Ohio River Emergency Physicians LLC
• Annabelle Parsons

• Skilled Nursing Facility in Carrollton, KY
• Providers in Carrollton, KY by specialty
• Skilled Nursing Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.