PEARL VALLEY REHABILITATION AND NURSING AT SUTHERLAND, LLC (NPI# 1285179044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285179044 |
| Entity Type | Organization |
| Organization Name | PEARL VALLEY REHABILITATION AND NURSING AT SUTHERLAND, LLC |
| Practice Address |
506 E 4th St Sutherland IA 51058-7668 |
| Mailing Address |
1576 E 27th St Brooklyn NY 11229-1710 |
| Practice Telephone | 7124463857 |
| Practice Fax Number | 7124462633 |
| Enumeration Date | 2017-01-03 |
| Last Update Date | 2017-01-03 |
| Authorized Official Name | YAAKOV DORFMAN (OWNER (GREATER THAN 5 PERCENT)) |
| Authorized Official Telephone | 5512062647 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Iowa Business Entities | PEARL VALLEY REHABILITATION AND NURSING AT SUTHERLAND, LLC | 506 E 4th St, Sutherland, IA 51508 |
| Street Address |
506 E 4TH ST |
| City | SUTHERLAND |
| State | IA |
| Zip Code | 51058-7668 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942282181 | Signature Properties of Sutherland LLC | Skilled Nursing Facility | 506 E 4th St, Sutherland, IA 51058 | 2005-11-15 |
| 1770731341 | Matthew D Johnson | Physical Therapist | 506 E 4th St, Sutherland, IA 51058-7668 | 2008-09-08 |
| 1629290317 | Diane Lee | Occupational Therapy Assistant | 506 E 4th St, Sutherland, IA 51058-7668 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043384423 | City of Sutherland | Clinic/Center | 116 Pine St, Sutherland, IA 51058 | 2006-11-20 |
| 1477604502 | Family Chiropractic and Wellness Center PC | Chiropractor | 112 W 2nd St, Sutherland, IA 51058-0423 | 2007-01-16 |
| 1619940061 | Becky A Hustedt | Chiropractor | 112 W 2nd St, Sutherland, IA 51058-7615 | 2006-02-08 |
| 1508053729 | Alan D Mills | Contractor | 510 Pine St, Sutherland, IA 51058-7624 | 2007-10-02 |
| 1548209984 | Baum Harmon Mercy Hospital | Clinic/Center | 108 W 2nd St, Sutherland, IA 51058-7672 | 2006-06-04 |
| 1861984015 | Anne Hellmann | Home Health Aide | 107 W 4th St, Sutherland, IA 51058-7715 | 2018-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841643566 | Sarah Parker | Case Manager/Care Coordinator | 9405 Dabney Dr, Sutherland, VA 23885-9278 | 2016-07-18 |
| 1013257187 | Happy Home Counseling Services, LLC | Community/Behavioral Health | 6395 Cliaborne Rd, Sutherland, VA 23885 | 2013-02-26 |
| 1801187356 | Family First Health Center PC | Family Medicine | 333 Maple St Ste 105, Sutherland, NE 69165-3000 | 2011-05-02 |
| 1386935690 | Patricia Michele Davis | Registered Nurse | 741 Walnut Street, Sutherland, NE 69165-0724 | 2011-04-21 |
| 1487977351 | Melissa Marie Johnson | Occupational Therapist | 333 Maple St., Sutherland, NE 69165 | 2010-03-08 |
| 1508053729 | Alan D Mills | Contractor | 510 Pine St, Sutherland, IA 51058-7624 | 2007-10-02 |
| 1962560789 | Village of Sutherland | Ambulance | 150 Maple Street, Sutherland, NE 69165-0277 | 2006-12-05 |
| 1376624734 | Heath A Marshall | Pharmacist | 5607 Claiborne Rd, Sutherland, VA 23885-9303 | 2006-10-18 |
| 1699780007 | Faylene Rae Dancer | Nurse Practitioner | 333 N Maple, Suite 105, Sutherland, NE 69165 | 2006-07-31 |
| 1851305247 | Brian J Vineyard | Dentist | 333 Maple Street, Sutherland, NE 69165 | 2006-07-28 |
| Find all providers in SUTHERLAND | ||||
| 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 |
|---|---|---|---|---|
| 1639125032 | Five Star Quality Care-ne LLC | Skilled Nursing Facility | 333 Maple St, Sutherland, NE 69165-3000 | 2006-05-26 |
| 1942282181 | Signature Properties of Sutherland LLC | Skilled Nursing Facility | 506 E 4th St, Sutherland, IA 51058 | 2005-11-15 |
| 1871154286 | Bcp Sutherland, LLC | Skilled Nursing Facility | 333 Maple St, Sutherland, NE 69165-3000 | 2019-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647165 | Ema Rehabilitation, LLC | Skilled Nursing Facility | 1831 E Kanesville Blvd, Council Bluffs, IA 51503-4767 | 2020-10-22 |
| 1770198855 | Wellspire-bettendorf LLC | Skilled Nursing Facility | 4699 53rd Ave, Bettendorf, IA 52722 | 2020-09-15 |
| 1114547395 | Bvm-phs Senior Housing Inc | Skilled Nursing Facility | 1160 Carmel Dr, Dubuque, IA 52003-7911 | 2020-04-17 |
| 1659920320 | Phs Walnut Ridge LLC | Skilled Nursing Facility | 1703 Campus Drive, Clive, IA 50325 | 2019-09-05 |
| 1992354666 | Phs Council Bluffs, Inc | Skilled Nursing Facility | 16 Valley View Drive, Council Bluffs, IA 51503 | 2019-09-05 |
| 1023679057 | Bcp Union Park, LLC | Skilled Nursing Facility | 2401 E 8th St, Des Moines, IA 50316-1717 | 2019-06-20 |
| 1639637143 | Wellspire LLC | Skilled Nursing Facility | 5508 Nw 88th St, Johnston, IA 50131-3005 | 2019-03-05 |
| 1356807101 | Accura Healthcare of Aurelia LLC | Skilled Nursing Facility | 401 W 5th St, Aurelia, IA 51005-7712 | 2019-02-18 |
| 1093286395 | Ccrc of West Des Moines, LLC | Skilled Nursing Facility | 8950 Coachlight Drive, West Des Moines, IA 50266 | 2018-12-12 |
| 1255828919 | Brio of Johnston, LLC | Skilled Nursing Facility | 6901 Peckham St, Johnston, IA 50131-3143 | 2018-04-18 |
| Find all providers with the same taxonomy | ||||
| City | SUTHERLAND |
| Zip Code | 51058 |
Please comment or provide details below to improve the information on PEARL VALLEY REHABILITATION AND NURSING AT SUTHERLAND, LLC.
| 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.