MICHELLE D. GREEN NPI 1568115319

NPI Information

  • NPI: 1568115319
  • Provider Name: MICHELLE D. GREEN
  • Classification: Nursing Home Administrator - 376G00000X
  • Entity Type: Individual
  • Address: W4073 COUNTY ROAD C
    MONTELLO, WI
    ZIP 53949
  • Phone: (608) 556-4218

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NPI Details

Michelle D. Green is a nursing home administrator in Montello, WI. The provider is an individual, often licensed by the state, who is responsible for the management of a nursing home. Michelle D. Green NPI is 1568115319. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

W4073 COUNTY ROAD C
MONTELLO, WI
ZIP 53949-623
Phone: (608) 556-4218

The enumeration date for this NPI number is 2/1/2022 and was last updated on 2/1/2022.

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
1251E00000XHome HealthNo
2253Z00000XIn Home Supportive CareNo
3311ZA0620XCustodial Care FacilityAdult Care HomeNo
4374U00000XHome Health AideNo
5376J00000XHomemakerNo
6376G00000XNursing Home AdministratorYes

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: 3/30/2025

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