Green Valley Nursing & Rehabilitation Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

036136 Issued in MO

Legal business name

GREEN VALLEY NURSING & REHABILITATION CENTER LLC

Practice address

610 Prigge Rd
Saint Louis, MO 63138-3543

Phone

(314) 741-9393

Fax

(314) 438-8128

NPI assigned

Aug 12, 2006

Organization subpart

No

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

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1942212899",
    "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": "610 PRIGGE RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631383543",
            "telephone_number": "314-741-9393",
            "fax_number": "314-438-8128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN VALLEY NURSING & REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2010-06-21",
        "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": "036136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102735602",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harry Glyn Greditzer Jr., MD
• Harry Gus Greditzer IV, M.D.
• Green Home Health
• Green Park Leasing Co., LLC
• Green Park Nursing Home
• Kirsten Green-Benson
• Abby Margaret Green, MD
• Abigail F Green, M.A.
• Adriana Green
• Aileen L Green, MD, PHD

• Skilled Nursing Facility in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; 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.