Greenline Health Services, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

060-R-1398 Issued in GA

Legal business name

GREENLINE HEALTH SERVICES, INC

Practice address

1572 Highway 85 N
Suite 338
Fayetteville, GA 30214

Phone

(678) 885-9765

Fax

(678) 885-9764

NPI assigned

Jun 24, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Charles L Fuller

Title

Administrator

Phone

(678) 463-4666

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1466726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1154772762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7360 HOBGOOD RD",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302132684",
            "telephone_number": "678-885-9765",
            "fax_number": "678-885-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1572 HIGHWAY 85 N",
            "address_2": "SUITE 338",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "30214",
            "telephone_number": "678-885-9765",
            "fax_number": "678-885-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLINE HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-24",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-463-4666",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "060-R-1398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greater Georgia Behavioral Health
• Leshundra Green
• Neffera Green, RBT
• Wallace Maxwell Green, PAC
• Susanne Greenblatt, P.T.
• Kristiana Gregg, NURSE PRACTITIONER
• Melanie Michele Gregg, PHARMD
• Katharine Gridley
• Dauda A Griffin, M.D.
• Orianna Griffith, RBT

• All providers in Fayetteville, GA
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.