Greenacres Residential Care , LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GREENACRES RESIDENTIAL CARE , LLC

Doing business as

Greenacres Residential Care

Practice address

17927 E Appleway Ave
Spokane Valley, WA 99016-9302

Phone

(509) 200-1455

NPI assigned

Dec 27, 2022

Organization subpart

No

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

Authorized official

Name

Edith Sembeka Corson, PMHNPNPI 1811662869

Title

Ceo

Phone

(509) 200-1455

Specialties & licenses 1

Addresses

Other names 1

• Greenacres Residential Care Doing business as

Electronic endpoints 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edith Sembeka Corson, RN

  • Registered Nurse
  • Spokane Valley, WA
  • NPI 1811662869
  NPD Authorized official

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

{
    "created_epoch": "1672099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672099200000",
    "number": "1073226700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23033 E BROADWAY AVE",
            "city": "LIBERTY LAKE",
            "state": "WA",
            "postal_code": "990197505",
            "telephone_number": "509-200-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17927 E APPLEWAY AVE",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990169302",
            "telephone_number": "509-200-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENACRES RESIDENTIAL CARE , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A",
        "authorized_official_last_name": "CORSON",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "SEMBEKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-200-1455",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "garesidentialcare@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email address",
            "address_1": "17927 E Appleway Ave",
            "city": "Spokane Valley",
            "state": "WA",
            "country_code": "US",
            "postal_code": "990169302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Greenacres Residential Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brajee Green, RD
• Brittney Green
• Charles Levi Green
• Janelle Marie Green, LICSW
• Jenny L Green, LMP
• Travis Mark Greene, PHYSICAL THERAPIST
• Shealyn Greenhalgh
• Grant Lee Greenhall
• Shannon R Greenlaw, DPT
• Everett D Greenup, PHARM D

• Community/Behavioral Health Agency in Spokane Valley, WA
• Providers in Spokane Valley, WA by specialty
• Community/Behavioral Health Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.