NPIMap

Organization Active NPI

Senior Health River Valley LLC

  • Skilled Nursing Facility
  • Gainesville, TX
National Provider Identifier
1376540278
Registry record updated Oct 3, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
111939 Issued in TX
Legal business name
SENIOR HEALTH RIVER VALLEY LLC
Practice address
1907 Refinery Rd
Gainesville, TX 76240-0000
Phone
(940) 665-0386
Fax
(940) 665-9314
NPI assigned
Jul 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2007

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

Authorized official

Name
Mr. Larry Lee Snow, RN
Title
Regional Care Manager
Phone
(940) 464-7016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 111939 TX Primary

Addresses

Primary practice location

1907 Refinery Rd
Gainesville, TX 76240-0000

Mailing address

1907 Refinery Rd
Gainesville, TX 76240-0000
Phone (940) 665-0386

Other identifiers 2

IdentifierTypeStateIssuer
111939OtherTXLICENSE
4863MedicaidTX

Other names 1

  • River Valley Health & Rehabilitation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Belair Nursing Home14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191369600000",
    "number": "1376540278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 REFINERY RD",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762400000",
            "telephone_number": "940-665-0386",
            "fax_number": "940-665-9314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 REFINERY RD",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762400000",
            "telephone_number": "940-665-0386",
            "fax_number": "940-665-9314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR HEALTH RIVER VALLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-07",
        "last_updated": "2007-10-03",
        "status": "A",
        "authorized_official_last_name": "SNOW",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "REGIONAL CARE MANAGER",
        "authorized_official_telephone_number": "940-464-7016",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "111939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "111939",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4863",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "River Valley Health & Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.