Organization Active NPI

Valley Falls Terrace Inc

  • Skilled Nursing Facility
  • Spartanburg, SC
National Provider Identifier
1386731313
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NCF495 Issued in SC
Legal business name
VALLEY FALLS TERRACE INC
Practice address
400 Locust GRV
Spartanburg, SC 29303-4831
Phone
(864) 503-0377
NPI assigned
Oct 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Myria Polydorou, CPA
Title
VP Finance
Phone
(864) 582-8983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NCF495 SC Primary

Addresses

Primary practice location

400 Locust GRV
Spartanburg, SC 29303-4831

Mailing address

PO Box 5419
Spartanburg, SC 29304-5419
Phone (864) 582-8983

Other identifiers 1

IdentifierTypeStateIssuer
0495NHMedicaidSC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386731313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5419",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293045419",
            "telephone_number": "864-582-8983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LOCUST GRV",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293034831",
            "telephone_number": "864-503-0377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY FALLS TERRACE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLYDOROU",
        "authorized_official_first_name": "MYRIA",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "864-582-8983",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "SC",
            "license": "NCF495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0495NH",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.