Organization Active NPI

Accordius Health at St Mary, LLC

  • Skilled Nursing Facility
  • Davenport, IA
National Provider Identifier
1639615271
Registry record updated Nov 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
820846 Issued in IA
Legal business name
ACCORDIUS HEALTH AT ST MARY, LLC
Practice address
800 E Rusholme St
Davenport, IA 52803-2547
Phone
(877) 567-0402
Fax
(718) 567-0600
NPI assigned
Jan 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2025

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

Authorized official

Name
Chaim Hyman
Title
Ceo
Phone
(718) 567-0400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 820846 IA Primary

Addresses

Primary practice location

800 E Rusholme St
Davenport, IA 52803-2547

Mailing address

9429 Harding Ave Ste 141
Surfside, FL 33154-2803
Phone (718) 567-0400

Other names 1

  • Accordius Health at St Mary Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Accordius Health at St Mary LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9429 Harding Ave
Surfside, FL 33154

NPI Registry JSON

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

{
    "created_epoch": "1483660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764201600000",
    "number": "1639615271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9429 HARDING AVE STE 141",
            "city": "SURFSIDE",
            "state": "FL",
            "postal_code": "331542803",
            "telephone_number": "718-567-0400",
            "fax_number": "718-567-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E RUSHOLME ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032547",
            "telephone_number": "877-567-0402",
            "fax_number": "718-567-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCORDIUS HEALTH AT ST MARY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-06",
        "last_updated": "2025-11-27",
        "certification_date": "2025-11-27",
        "status": "A",
        "authorized_official_last_name": "HYMAN",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-567-0400"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IA",
            "license": "820846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Accordius Health at St Mary",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2025; 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.