Pearl Valley Rehabilitation and Nursing at Sutherland, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PEARL VALLEY REHABILITATION AND NURSING AT SUTHERLAND, LLC

Practice address

506 E 4TH St
Sutherland, IA 51058-7668

Phone

(712) 446-3857

Fax

(712) 446-2633

NPI assigned

Jan 3, 2017

Last updated

Jan 3, 2017By 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

Yaakov Dorfman

Title

Owner (Greater Than 5 Percent)

Phone

(551) 206-2647

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1285179044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 E 27TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 E 4TH ST",
            "city": "SUTHERLAND",
            "state": "IA",
            "postal_code": "510587668",
            "telephone_number": "712-446-3857",
            "fax_number": "712-446-2633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL VALLEY REHABILITATION AND NURSING AT SUTHERLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "DORFMAN",
        "authorized_official_first_name": "YAAKOV",
        "authorized_official_title_or_position": "OWNER (GREATER THAN 5 PERCENT)",
        "authorized_official_telephone_number": "551-206-2647"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Sutherland, IA
• Providers in Sutherland, IA by specialty
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.