NPIMap

Organization Active NPI

Delmar Gardens of Green Valley Operating LLC

Doing business as Delmar Gardens of Green Valley

  • Skilled Nursing Facility
  • Henderson, NV
National Provider Identifier
1427043298
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
1178SNF-19 Issued in NV
Legal business name
DELMAR GARDENS OF GREEN VALLEY OPERATING LLC
Doing business as
Delmar Gardens of Green Valley
Practice address
100 Delmar Gardens Dr
Henderson, NV 89074-3216
Phone
(702) 361-6111
Fax
(702) 361-2508
NPI assigned
Sep 16, 2005
Last updated
Jan 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Authorized official

Name
Mr. Gail Lee Hartmann
Title
Treasurer
Phone
(636) 733-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 1178SNF-19 NV Primary

Addresses

Primary practice location

100 Delmar Gardens Dr
Henderson, NV 89074-3216

Mailing address

14805 N Outer 40 Rd
Suite 300
Chesterfield, MO 63017-6060
Phone (636) 733-7000

Other names 1

  • Delmar Gardens of Green Valley Doing business as

National Provider Directory

National Provider Directory

Locations

100 Delmar Gardens Dr
Henderson, NV 89074
Phone (702) 361-6111

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452556800000",
    "number": "1427043298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14805 N OUTER 40 RD",
            "address_2": "SUITE 300",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630176060",
            "telephone_number": "636-733-7000",
            "fax_number": "636-733-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DELMAR GARDENS DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890743216",
            "telephone_number": "702-361-6111",
            "fax_number": "702-361-2508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELMAR GARDENS OF GREEN VALLEY OPERATING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2016-01-12",
        "status": "A",
        "authorized_official_last_name": "HARTMANN",
        "authorized_official_first_name": "GAIL",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "636-733-7000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NV",
            "license": "1178SNF-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Delmar Gardens of Green Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2016; 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.