Greene Haven Family Care Home in Shelby - Assisted Living Facility

Greene Haven Family Care Home - NPI 1124234166

Greene Haven Family Care Home is a Assisted Living Facility in Shelby, North Carolina. Greene Haven Family Care Home practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Greene Haven Family Care Home is 1124234166. The last update date is 2007-09-24.

Greene Haven Family Care Home's current location address is 1833 Stony Point Rd, Shelby, North Carolina. You can contact this provider via phone number 7044870063 and fax number 7044828001. The mailing address for Greene Haven Family Care Home is 1833 Stony Point Rd, Shelby, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Greene Haven Family Care Home
Address 1833 Stony Point Rd, Shelby, North Carolina
Phone Number 7044870063
Fax Number 7044828001
Sole Proprietor --
Credentials --

Authorized Official

Title or Position ADMINISTRA
Authorized Official Name Gullatte Roseboro Latarsha
Telephone Number 7044870063

NPI Number Detail

NPI Number 1124234166
Provider Enumeration Date 2007-05-15
Last Updated Date 2007-09-24

Provider Mailing Address Detail

Address 1833 Stony Point Rd
City Shelby
State North Carolina (NC)
Post Code 281509601
Phone Number 7044870063
Fax Number 7044828001

Provider's Primary Taxonomy Detail

Speciality Assisted Living Facility
Taxonomy 310400000X
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7804719 NC --

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FAQs about Greene Haven Family Care Home

What is the unique 10-digit identifier code assigned to Greene Haven Family Care Home by the Centers for Medicare & Medicaid Services?

The Greene Haven Family Care Home has been issued the NPI (National Provider Identifier) 1124234166 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete address where Greene Haven Family Care Home is physically located?

The Greene Haven Family Care Home is situated at the following address: 1833 Stony Point Rd, Shelby, NC 281509601.

What is Greene Haven Family Care Home's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Greene Haven Family Care Home's specialized field of practice is Assisted Living Facility, and the corresponding taxonomy code that categorizes this area of specialization is 310400000X.

On what date was the 1124234166 assigned to Greene Haven Family Care Home?

The Greene Haven Family Care Home was issued its 1124234166 on 2007-05-15, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Greene Haven Family Care Home most recently updated or refreshed?

The details pertaining to the Greene Haven Family Care Home, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-09-24.

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