GREEN ACRES FAMILY CARE HOME NPI 1275974966

NPI Information

NPI: 1275974966
Provider Name: GREEN ACRES FAMILY CARE HOME
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
8465 PINEY WOODS RD
WILLARD, NC
ZIP 28478
Phone: (910) 337-1311
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GREEN ACRES FAMILY CARE HOME is an assisted living facility in Willard, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. GREEN ACRES FAMILY CARE HOME NPI is 1275974966. The provider is registered as an organization entity type.

The provider's business location address is:

8465 PINEY WOODS RD
WILLARD, NC
ZIP 28478-833
Phone: (910) 337-1311

The provider's authorized official is Latrisha Green .
The authorized official title is Owner and has the following contact phone number (910) 337-1311.

The enumeration date for this NPI number is 7/10/2013 and was last updated on 7/10/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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