Green Valley, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

800263 Issued in OR

Legal business name

GREEN VALLEY, LLC

Practice address

1735 Adkins St
Eugene, OR 97401-5003

Phone

(541) 683-5032

Fax

(541) 683-5085

NPI assigned

Jul 5, 2005

Organization subpart

Yes

Parent organization

PINNACLE HEALTHCARE, INC.As reported in NPPES

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

Authorized official

Name

Mr. Mark Garber

Title

Chief Financial Officer

Phone

(541) 746-1020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Green Valley Rehabilitation Health Center Doing business as

Part of

Pinnacle Healthcare Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Pinnacle Healthcare, Inc.

  • Pediatric Skilled Nursing Facility
  • Springfield, OR
  • NPI 1649348236
  NPPES parent name

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424649600000",
    "number": "1255338398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 GATEWAY LOOP",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974771114",
            "telephone_number": "541-746-1020",
            "fax_number": "541-284-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 ADKINS ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974015003",
            "telephone_number": "541-683-5032",
            "fax_number": "541-683-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN VALLEY, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PINNACLE HEALTHCARE, INC.",
        "enumeration_date": "2005-07-05",
        "last_updated": "2015-02-23",
        "status": "A",
        "authorized_official_last_name": "GARBER",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "541-746-1020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OR",
            "license": "800263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "800263",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Valley Rehabilitation Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laurie P Gray, MD
• Steven Hugh Gray, LMT
• Richard Graymer
• Emmy Kate Greatwood
• Green Valley Rehabilitation
• Sylvia Rachelle Green-Richards, LMT
• Christy J. Green, PMHNP-BC; FNP-BC
• Daniel Lee Green
• Hannah N Green, RN
• Jacob Irving Green, DPM

• Skilled Nursing Facility in Eugene, OR
• Providers in Eugene, OR by specialty
• Skilled Nursing Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.