Valley Subacute & Rehabilitation Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

100000127 Issued in CA

Legal business name

VALLEY SUBACUTE & REHABILITATION CENTER, LLC

Doing business as

Central Valley Post Acute, Modesto

Practice address

515 E Orangeburg Ave
Modesto, CA 95350-5510

Phone

(209) 529-0516

Fax

(209) 521-7069

NPI assigned

Sep 6, 2005

Last updated

Jan 28, 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

Tammy Jean Thompson

Title

VP Finance

Phone

(209) 248-7851

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Central Valley Post Acute, Modesto Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gia Samantha Smith

  • Nurse Practitioner
  • Riverbank, CA
  • NPI 1649888173
  NPD

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1326032327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 17TH ST",
            "address_2": "SUITE 201C",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953541247",
            "telephone_number": "209-248-7851",
            "fax_number": "209-248-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E ORANGEBURG AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505510",
            "telephone_number": "209-529-0516",
            "fax_number": "209-521-7069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY SUBACUTE & REHABILITATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "209-248-7851"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "100000127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZR05869H",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Valley Post Acute, Modesto",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valley Physical Therapy Solutions, Inc.
• Valley Psychiatric Professional Corporation (Valley Psychiatric Associates)
• Valley Recovery Resources (Redwood Family Center)
• Valley Recovery Resources
• Valley Recovery Resources (Redwood Family Center)
• Valley Surgery Center at Modesto, LLC
• Valley Wound Healing Center, Inc.
• Paula Kay Van Alen
• Donald Richard Van Bibber, D.D.S.
• Tracy Marie Van de Pol, BSN, CNOR, RNFA

• Skilled Nursing Facility in Modesto, CA
• Providers in Modesto, 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 Jan 28, 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.