Organization Active NPI

North Valley Nursing & Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Saint Louis, MO
National Provider Identifier
1477565398
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
035827 Issued in MO
Legal business name
NORTH VALLEY NURSING & REHABILITATION CENTER LLC
Practice address
2115 Kappel Dr
Saint Louis, MO 63136-4115
Phone
(314) 867-7474
Fax
(314) 867-3635
NPI assigned
Aug 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Authorized official

Name
Mr. Moshe Orlinsky
Title
Manager
Phone
(314) 588-7518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 035827 MO Primary

Addresses

Primary practice location

2115 Kappel Dr
Saint Louis, MO 63136-4115

Mailing address

211 N Broadway
Suite 2035
Saint Louis, MO 63102-2711
Phone (314) 588-7518

Other identifiers 1

IdentifierTypeStateIssuer
101487700MedicaidMO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1477565398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N BROADWAY",
            "address_2": "SUITE 2035",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631022711",
            "telephone_number": "314-588-7518",
            "fax_number": "314-588-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 KAPPEL DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631364115",
            "telephone_number": "314-867-7474",
            "fax_number": "314-867-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH VALLEY NURSING & REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "ORLINSKY",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-588-7518",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "035827",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101487700",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; 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.