GREEN VALLEY SNF LLC (NPI# 1124081278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124081278 |
| Entity Type | Organization |
| Organization Name | GREEN VALLEY SNF LLC |
| Other Organization Name | PINNACLE REHAB & HEALTH CENTER |
| Practice Address |
3034 S Dupont Blvd Smyrna DE 19977-1898 |
| Mailing Address |
400 Rella Blvd Ste 200 Montebello NY 10901-4239 |
| Practice Telephone | 3026535085 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2020-06-19 |
| Authorized Official Name | FAIGE SHOSHANA (DIRECTOR OF CONTRACTING) |
| Authorized Official Telephone | 7325514803 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 1160 | DE | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 0001088411 | 05 | |
| BLUE CROSS | 155A20 | 01 | |
| DE | 0001088512 | 05 |
| Other Name | Type Code |
|---|---|
| Pinnacle Rehab & Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063697092 | Green Valley Snf LLC | Skilled Nursing Facility | 3034 S Dupont Blvd, Smyrna, DE 19977-1898 | 2008-01-09 |
| Street Address |
3034 S DUPONT BLVD |
| City | SMYRNA |
| State | DE |
| Zip Code | 19977-1898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205087566 | Angela Barone | Nurse Practitioner | 3034 S Dupont Blvd, Smyrna, DE 19977-1898 | 2008-10-06 |
| 1063697092 | Green Valley Snf LLC | Skilled Nursing Facility | 3034 S Dupont Blvd, Smyrna, DE 19977-1898 | 2008-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477195857 | Nicola Dwyer | Licensed Practical Nurse | 121 Balamor Ct, Smyrna, DE 19977 | 2019-10-17 |
| 1487202982 | Steps 2 Wellness, LLC | Nurse Practitioner | 229 N Main Street, Smyrna, DE 19977 | 2019-08-28 |
| 1609423813 | Nu Beginning Center, LLC | Community/Behavioral Health | 229 North Main Street, Smyrna, DE 19977 | 2019-08-22 |
| 1467959593 | Cimi Behavior Analytic Solutions | Behavioral Analyst | 329 Garrisons Lake Blvd, Smyrna, DE 19977 | 2018-04-05 |
| 1548795859 | Connections Community Support Programs, Inc. | Clinic/Center | 350 N. High Street Extension, Smyrna, DE 19977 | 2017-04-24 |
| 1912352782 | Elizabeth Soleh Kerkula | Registered Nurse | 611 Providence Drive, Smyrna, DE 19977 | 2016-04-29 |
| 1780075218 | Life Force Caregivers, Inc. | Custodial Care Facility | 127 E. Glenwood Ave., Smyrna, DE 19977 | 2015-02-05 |
| 1164826707 | Naomi Ruth Thomas | Registered Nurse | 654 Brenford Station Road, Smyrna, DE 19977 | 2014-10-10 |
| 1104164524 | Christianacare Health Systems | Clinic/Center | 100 Sunnyside Rd 3rd Floor Prickett South, Smyrna, DE 19977 | 2013-01-18 |
| 1891056529 | Alex Bongon Siapno | Physical Therapist | 3034 S Dupont Blvd., Smyrna, DE 19977 | 2012-05-29 |
| Find all providers in zip 19977 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093343535 | Marie Carmelle Noel | Skilled Nursing Facility | 800 Sadie Ann Ct, Smyrna, TN 37167-3445 | 2020-03-30 |
| 1619320819 | Moving Forward Consultant Company | Skilled Nursing Facility | 3315 S Cobb Dr Se Unit 813642, Smyrna, GA 30081-3099 | 2016-07-22 |
| 1538157649 | Diversicare Leasing Corp. | Skilled Nursing Facility | 200 Mayfield Dr, Smyrna, TN 37167-3019 | 2005-10-12 |
| 1194711606 | Delmar Gardens of Smyrna, LLC | Skilled Nursing Facility | 404 King Springs Village Pkwy Se, Smyrna, GA 30082-4240 | 2005-09-21 |
| 1982157434 | The Waters of Smyrna LLC | Skilled Nursing Facility | 202 Enon Springs Rd E, Smyrna, TN 37167-3011 | 2016-08-02 |
| 1801249941 | Diversicare of Smyrna | Skilled Nursing Facility | 200 Mayfield Dr, Smyrna, TN 37167-3019 | 2016-07-13 |
| 1942619010 | Speech Language Pathologist | Skilled Nursing Facility | 404 King Springs Village Pkwy Se, Smyrna, GA 30082-4240 | 2014-08-04 |
| 1235309568 | Miguel E. Stubbs, M.d.p.c. | Skilled Nursing Facility | 3001 S Cobb Dr Se, Suite 103, Smyrna, GA 30080-7809 | 2008-03-03 |
| 1063697092 | Green Valley Snf LLC | Skilled Nursing Facility | 3034 S Dupont Blvd, Smyrna, DE 19977-1898 | 2008-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881129641 | Shiney Smiley | Skilled Nursing Facility | 320 Price Dr, Middletown, DE 19709-9933 | 2017-04-28 |
| 1700325057 | Center At Eden Hill LLC | Skilled Nursing Facility | 300 Banning Street, Dover, DE 19904 | 2017-02-20 |
| 1225329170 | Genesis | Skilled Nursing Facility | 167 Darling St, Newark, DE 19702-3761 | 2011-04-27 |
| 1477881456 | Brianne Reed | Skilled Nursing Facility | 387 Glenn Forest Rd, Magnolia, DE 19962-2729 | 2009-12-02 |
| 1942342662 | Greenville Retirement Community L.L.C. | Skilled Nursing Facility | 4031 Kennett Pike, Wilmington, DE 19807-2047 | 2007-02-12 |
| 1447314794 | Jha Wilmington Inc. | Skilled Nursing Facility | 801 N Broom St, Wilmington, DE 19806-4624 | 2006-12-21 |
| 1740358050 | Fs Tenant Pool I Trust | Skilled Nursing Facility | 407 Foulk Rd, Wilmington, DE 19803-3809 | 2006-12-04 |
| 1114090503 | New Castle Care, LLC | Skilled Nursing Facility | 32 Buena Vista Dr, New Castle, DE 19720-4660 | 2006-11-16 |
| 1083796734 | Courtland Manor Inc. | Skilled Nursing Facility | 889 S Little Creek Rd, Dover, DE 19901-4721 | 2006-10-20 |
| 1366537185 | Exceptional Care for Children | Skilled Nursing Facility | 11 Independence Way, Newark, DE 19713 | 2006-10-04 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.