Organization Active NPI

Riverview Manor Healthcare LLC

  • Skilled Nursing Facility
  • Pleasant Valley, IA
National Provider Identifier
1972043677
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
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

Updated by the provider on Feb 28, 2017

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.