Organization Active NPI

Garden Valley Nursing & Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Kansas City, MO
National Provider Identifier
1871686394
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
034754 Issued in MO
Legal business name
GARDEN VALLEY NURSING & REHABILITATION CENTER LLC
Practice address
8575 N Granby Ave
Kansas City, MO 64154
Phone
(816) 436-8575
Fax
(816) 468-0233
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Mr. Moshe Orlinsky
Title
Manager
Phone
(314) 588-7518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 034754 MO Primary

Addresses

Primary practice location

8575 N Granby Ave
Kansas City, MO 64154

Mailing address

211 N Broadway
Suite 2035
Saint Louis, MO 63102-2711
Phone (314) 588-7518

Other identifiers 1

IdentifierTypeStateIssuer
102024106MedicaidMO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1871686394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N BROADWAY",
            "address_2": "SUITE 2035",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631022711",
            "telephone_number": "314-588-7518",
            "fax_number": "314-588-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8575 N GRANBY AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "64154",
            "telephone_number": "816-436-8575",
            "fax_number": "816-468-0233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN VALLEY NURSING & REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "ORLINSKY",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "314-588-7518",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "034754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102024106",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.