Active NPI
Gregory Edward Valentine
- Nursing Home Administrator
- Flat Rock, NC
National Provider Identifier
1467595298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Home Administrator
- License
- FCL-045-078
- Practice address
- 178 Kendrick Court
Flat Rock, NC 28731-9786 - Phone
- (828) 696-8224
- NPI assigned
- Feb 14, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Home Administrator | 376G00000X | FCL-045-078 | NC | Primary |
Addresses
Primary practice location
178 Kendrick Court
Flat Rock, NC 28731-9786
Mailing address
PO Box 872
East Flat Rock, NC 28726-0872
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7804745 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FCL-045-078 | NC | MD | Nursing Home Administrator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valentine's Family Care Homes | Past | Accepting new patients | |
| Valentine's Family Care Homes | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Assisted Living Facility
- Flat Rock, NC
- NPI 1194859017
-
- Assisted Living Facility
- Flat Rock, NC
- NPI 1760515902
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467595298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 872",
"city": "EAST FLAT ROCK",
"state": "NC",
"postal_code": "287260872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "178 KENDRICK COURT",
"city": "FLAT ROCK",
"state": "NC",
"postal_code": "287319786",
"telephone_number": "828-696-8224"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTINE",
"first_name": "GREGORY",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": "NC",
"license": "FCL-045-078",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7804745",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Flat Rock, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.