Greenfield Facility Operations, LLC
Organization Active NPI Skilled Nursing Facility · Greenfield, OH
NPI 1104849413 · NPPES record last updated Oct 15, 2007
Key facts
- NPI
- 1104849413
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- Legal business name
- GREENFIELD FACILITY OPERATIONS, LLC
- Practice address
- 850 Nellie St
Greenfield, OH 45123-1567 - Phone
- (937) 981-2165
- Fax
- (937) 981-1309
- NPI assigned
- Jul 26, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- CONSULATE HEALTH CARE, LLC
Authorized official
- Name
- Joseph Conte
- Title
- Chief Executive Officer
- Phone
- (407) 571-1550
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0345474 | Greenfield Facility Operations LLC Dba Edgewood | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Yes |
Addresses
Primary practice location
850 Nellie St
Greenfield, OH 45123-1567
Mailing address
800 Concourse Pkwy S
Suite 200
Maitland, FL 32751-6148
Phone (407) 571-1550
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2710007 | Medicaid | OH |
Other names
- Edgewood Manor of Greenfield
Other providers in Greenfield, OH
- Greenfield Area Medical Center
- Greenfield Area Medical Center
- Greenfield Chiropractic, L.L.C.
- Greenfield Exempted Village School District
- Greenfield Exempted Village Schools
- Greenfield SNF, Inc.
- Becky Grooms
- Hope Renee Gunter
- Antone Lavar Hall
- Mark Hann
All providers in Greenfield, OH · Skilled Nursing Facility in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.