Rehabilitation and Health Care Center at Village Green

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0502 Issued in NC

Legal business name

REHABILITATION AND HEALTH CARE CENTER AT VILLAGE GREEN

Practice address

1601 Purdue Dr
Fayetteville, NC 28304-3674

Phone

(910) 486-5000

Fax

(910) 486-5266

NPI assigned

Sep 27, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Gentzler

Title

Cfo

Phone

(910) 483-7666

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Henley Jr., MD

  • Otolaryngology Physician
  • Fayetteville, NC
  • NPI 1427014059
  NPD (past)

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427846400000",
    "number": "1659367480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 PURDUE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043674",
            "telephone_number": "910-486-5000",
            "fax_number": "910-486-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 PURDUE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043674",
            "telephone_number": "910-486-5000",
            "fax_number": "910-486-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHABILITATION AND HEALTH CARE CENTER AT VILLAGE GREEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-27",
        "last_updated": "2015-04-01",
        "status": "A",
        "authorized_official_last_name": "GENTZLER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "910-483-7666",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0502",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406071",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405380",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regional Diabetes and Endocrine Center
• Yvonne Regisma
• Brianna Register
• Mackenzie McLamb Register, LCSWA
• Melissa Register, RBT
• Kelly Reichert
• Richard E Reichert
• Shelita Lebrina Reid Santana, M.ED., CCC-SLP
• Abria Reid
• Aubrey James Reid, PA-C

• Skilled Nursing Facility in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2015; 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.