Park Valley Health Care Center LTD. Co.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PARK VALLEY HEALTH CARE CENTER LTD. CO.

Doing business as

Park Valley Inn Health Center

Practice address

17751 Park Valley Dr
Round Rock, TX 78681-3592

Phone

(214) 954-4114

NPI assigned

Jul 9, 2019

Last updated

Aug 7, 2019By 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

Robin F Underhill

Title

Chief Executive Officer

Phone

(214) 954-4114

Specialties & licenses 1

Addresses

Other names 1

• Park Valley Inn Health Center Doing business as

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565136000000",
    "number": "1346892536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2537 GOLDEN BEAR DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750062377",
            "telephone_number": "214-954-4114",
            "fax_number": "214-880-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17751 PARK VALLEY DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786813592",
            "telephone_number": "214-954-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK VALLEY HEALTH CARE CENTER LTD. CO.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-08-07",
        "status": "A",
        "authorized_official_last_name": "UNDERHILL",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "214-954-4114"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Park Valley Inn Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Natacha Pankratz, M.D.
• Oliver Papa, MA, LPC-A
• Amanda Papenfus, LCDC
• Rajendra C Parikh, M.D.
• Kelli Parish, FNP-C
• Park Valley Operations LLC
• Park Valley Pediatrics, P.L.L.C.
• Connie Park, PH.D.
• Hyun Ji Park, DDS
• Sang- Jun Park

• Skilled Nursing Facility in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.