Greenbrier Senior Living Community, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1874890 Issued in IL

Legal business name

GREENBRIER SENIOR LIVING COMMUNITY, LLC

Practice address

600 S Maple St
Piper City, IL 60959

Phone

(815) 686-2277

Fax

(815) 686-2812

NPI assigned

Jun 23, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Christopher T Cook

Title

Chief Operating Officer

Phone

(716) 687-2772

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1214179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1619138583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 GLEED AVE",
            "city": "EAST AURORA",
            "state": "NY",
            "postal_code": "140522980",
            "telephone_number": "716-687-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S MAPLE ST",
            "city": "PIPER CITY",
            "state": "IL",
            "postal_code": "60959",
            "telephone_number": "815-686-2277",
            "fax_number": "815-686-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBRIER SENIOR LIVING COMMUNITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-23",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "716-687-2772",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "1874890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greenbrier Lodge, Inc.
• Piper Hco, LLC
• Piper Hco, LLC
• Miranda Leanne Rettell, PTA
• Jaqulyn Dianne Thomas, PTA

• Skilled Nursing Facility in Piper City, IL
• Providers in Piper City, IL by specialty
• Skilled Nursing Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.