Greens Nursing and Assisted Living, L.L.C.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

5241 Issued in OH

Legal business name

GREENS NURSING AND ASSISTED LIVING, L.L.C.

Practice address

1575 Brainard Rd
Lyndhurst, OH 44124-3096

Phone

(440) 460-1000

Fax

(440) 646-0100

NPI assigned

Aug 26, 2005

Last updated

Oct 18, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Marilyn A. Weaver

Title

Assistant Secretary

Phone

(502) 596-7300

Specialties & licenses 2

Addresses

Other identifiers 2

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1063405843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S 4TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407",
            "telephone_number": "502-596-7301",
            "fax_number": "502-596-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 BRAINARD RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441243096",
            "telephone_number": "440-460-1000",
            "fax_number": "440-646-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENS NURSING AND ASSISTED LIVING, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-26",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "502-596-7300",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OH",
            "license": "5241",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "5241",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS/ BLUE S",
            "identifier": "000000156869",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "27-58332",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail P. Grant, MSW
• Rhonda J Gray, RN
• Rodney Allan Green, M.D.
• Beryl Greenberg, LSW
• Mendel Yosef Greenberg
• Greens Nursing and Assisted Living, L.L.C.
• Greens Nursing and Assisted Living, LLC (The Greens Nursing and Rehabilitation Center)
• Katherine Gregory-Taylor
• Candice Griesmar
• Cierra Griffey

• Skilled Nursing Facility in Lyndhurst, OH
• Providers in Lyndhurst, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.