Mainstreet Senior II, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MAINSTREET SENIOR II, LLC

Doing business as

Grandview Health & Rehabilitation Center

Practice address

1959 E Columbus St
Martinsville, IN 46151-1857

Phone

(765) 342-7114

NPI assigned

Feb 12, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Vincent E Grogg

Title

Chief Operating Officer

Phone

(317) 420-0205

Specialties & licenses 1

Addresses

Other names 1

• Grandview Health & Rehabilitation Center Doing business as

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

{
    "created_epoch": "1202774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202774400000",
    "number": "1801064910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1959 E COLUMBUS ST",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461511857",
            "telephone_number": "765-342-7114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1959 E COLUMBUS ST",
            "city": "MARTINSVILLE",
            "state": "IN",
            "postal_code": "461511857",
            "telephone_number": "765-342-7114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAINSTREET SENIOR II, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-12",
        "last_updated": "2008-02-12",
        "status": "A",
        "authorized_official_last_name": "GROGG",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "317-420-0205",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grandview Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elizabeth Long, D.P.T.
• Lynn Michelle Lopossa, M.S., O.T.R
• LPS Behavioral Health LLC
• LPS Behavioral Health LLC
• Magnolia Health Systems 57, LLC (Grand Valley Assisted Living Facility)
• Amanda Maners
• Judith Maristela, PT
• Mark H Rosenberg (Bluff Creek Family Dental)
• Martinsville Chiropractic Care, P.C.
• Martinsville Family Eye Care Center Inc.

• Skilled Nursing Facility in Martinsville, IN
• Providers in Martinsville, IN by specialty
• Skilled Nursing Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 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.