Active NPI
Riverview Manor Healthcare LLC
- Skilled Nursing Facility
- Pleasant Valley, IA
National Provider Identifier
1972043677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- RIVERVIEW MANOR HEALTHCARE LLC
- Practice address
- 17990 Spencer Road
Pleasant Valley, IA 52767 - Phone
- (563) 332-4600
- NPI assigned
- Feb 28, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ephram Lahasky
- Title
- Owner More Than 5 Percent Interest
- Phone
- (664) 772-3668
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
17990 Spencer Road
Pleasant Valley, IA 52767
Mailing address
99 W Hawthorne Ave
Suite 508
Valley Stream, NY 11580-6163
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488240000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488240000000",
"number": "1972043677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "99 W HAWTHORNE AVE",
"address_2": "SUITE 508",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115806163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17990 SPENCER ROAD",
"city": "PLEASANT VALLEY",
"state": "IA",
"postal_code": "52767",
"telephone_number": "563-332-4600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERVIEW MANOR HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-28",
"last_updated": "2017-02-28",
"status": "A",
"authorized_official_last_name": "LAHASKY",
"authorized_official_first_name": "EPHRAM",
"authorized_official_title_or_position": "OWNER MORE THAN 5 PERCENT INTEREST",
"authorized_official_telephone_number": "664-772-3668"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasant Valley, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.