Pearl Valley Rehabilitation and Nursing at Primghar, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

PEARL VALLEY REHABILITATION AND NURSING AT PRIMGHAR, LLC

Practice address

735 N Rerick Ave
Primghar, IA 51245-1052

Phone

(712) 957-3655

Fax

(712) 957-8501

NPI assigned

Jan 31, 2017

Last updated

Jan 31, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Moshe Brodt

Title

Owner More Than 5 Percent Interest

Phone

(917) 379-8074

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1485820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485820800000",
    "number": "1932646767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 E 27TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 N RERICK AVE",
            "city": "PRIMGHAR",
            "state": "IA",
            "postal_code": "512451052",
            "telephone_number": "712-957-3655",
            "fax_number": "712-957-8501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEARL VALLEY REHABILITATION AND NURSING AT PRIMGHAR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-31",
        "last_updated": "2017-01-31",
        "status": "A",
        "authorized_official_last_name": "BRODT",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "OWNER MORE THAN 5 PERCENT INTEREST",
        "authorized_official_telephone_number": "917-379-8074"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean E. Irwin, D.D.S.
• Patrick Kent, ARNP
• Mercy Medical Services (MercyOne Primghar Family Medicine)
• Jane Alice Nicholson, PH.D.
• O'Brien County General Relief
• Kelly Scott Pomerenke, M.D.
• Primghar (Primghar Ambulance Team)
• Primghar Chiropractic Center Inc
• Primghar SNF Operator LLC
• Signature Properties of Primghar LLC (Primghar Rehabilitation and Care Center)

• Skilled Nursing Facility in Primghar, IA
• Providers in Primghar, IA by specialty
• Skilled Nursing Facility in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2017; 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.