Green Valley Terrace SNF LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1100 Issued in DE

Legal business name

GREEN VALLEY TERRACE SNF LLC

Doing business as

Atlantic Shore Rehab & Health Center

Practice address

231 S Washington St
Millsboro, DE 19966-1236

Phone

(302) 934-7300

Fax

(302) 934-9399

NPI assigned

Apr 10, 2006

Organization subpart

No

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

Authorized official

Name

Faige Shoshana

Title

Director of Contracting

Phone

(732) 551-4803

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Atlantic Shore Rehab & Health Center Doing business as

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1730142803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 RELLA BLVD STE 200",
            "city": "MONTEBELLO",
            "state": "NY",
            "postal_code": "109014239",
            "telephone_number": "732-551-4803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 S WASHINGTON ST",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199661236",
            "telephone_number": "302-934-7300",
            "fax_number": "302-934-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN VALLEY TERRACE SNF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-10",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "SHOSHANA",
        "authorized_official_first_name": "FAIGE",
        "authorized_official_title_or_position": "DIRECTOR OF CONTRACTING",
        "authorized_official_telephone_number": "732-551-4803"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "DE",
            "license": "1100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001088211",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001088312",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "155A21",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlantic Shore Rehab & Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atlantic Shore Rehab & Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beata Gille, RPH
• Angela Denise Givens
• Margaret A. Goodwin, PHD, LPCMH, LCPC
• Robin Gould
• Green Valley Terrace SNF LLC
• Aaron Green, M.D.
• Joanna Grabiak Green, DDS
• Gianna Rose Grogan, DO
• Anne Marie Bautista Guillen, PHYSICAL THERAPIST
• Gumboro Volunteer Fire Co.

• Skilled Nursing Facility in Millsboro, DE
• Providers in Millsboro, DE by specialty
• Skilled Nursing Facility in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; 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.