Healing Greens LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

HEALING GREENS LLC

Practice address

24796 Greentree LN
Lake Forest, CA 92630-2407

Phone

(818) 636-4968

NPI assigned

Feb 22, 2023

Organization subpart

No

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

Authorized official

Name

Maryanna McGervey, RDN, MPH, MBA

Title

Owner

Phone

(818) 636-4968

Specialties & licenses 1

Addresses

Other names 1

• Genetic Nutrition Counseling Doing business as

Practitioners 1

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

• Maryanna Staerk, MBA, LDN

  • Registered Dietitian
  • Lake Forest, CA
  • NPI 1174759104
  NPD

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1154029759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1112",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926091112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24796 GREENTREE LN",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926302407",
            "telephone_number": "818-636-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING GREENS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "MCGERVEY",
        "authorized_official_first_name": "MARYANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-636-4968",
        "authorized_official_credential": "RDN, MPH, MBA"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Genetic Nutrition Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Point of Service in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.