Green Tree Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GREEN TREE HOME HEALTH

Practice address

8862 Garden Grove Blvd Ste 206
Garden Grove, CA 92844-4204

Phone

(877) 259-7577

NPI assigned

Jun 19, 2020

Organization subpart

No

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

Authorized official

Name

Diem H LeNPI 1689236168

Title

Ceo

Phone

(877) 259-7577

Specialties & licenses 1

Addresses

Other names 1

• GREEN TREE HOME HEALTH Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 559584

Legal name

GREEN TREE HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Nov 9, 2021

Last certification

Nov 9, 2021

Organization structure

LLCProprietary

Incorporated

Sep 7, 2019 in CA

Enrollment address

8862 Garden Grove Blvd
Ste 206
Garden Grove, CA 92844-4204

Listed as

Green Tree Home HealthCCN 559584

Overall star rating

3.5 of 5

Ownership

-

Certified

Nov 9, 2021

Medicare certification status

ActiveFrom the Provider of Services file

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

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

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

• Diem Le

  • Home Health Agency
  • Garden Grove, CA
  • NPI 1689236168
  NPD Authorized official

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Mohitkumar Ardeshana, M.D.

  • Hospitalist Physician
  • Redlands, CA
  • NPI 1467867135

  Home health agency

  Care Compare affiliation
• Khanh Tuan Duong, D.P.M.

  • Podiatrist
  • Westminster, CA
  • NPI 1295754125

  Home health agency

  Care Compare affiliation
• Rodney Ebrahimian, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Los Angeles, CA
  • NPI 1295880698

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1592524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592524800000",
    "number": "1164048724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8862 GARDEN GROVE BLVD STE 206",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928444204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8862 GARDEN GROVE BLVD STE 206",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928444204",
            "telephone_number": "877-259-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN TREE HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-19",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "DIEM",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "877-259-7577"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREEN TREE HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Doreen Granpeesheh, PHD., BCBA
• Richard Glen Grant
• Apple Gray
• Trina Gray
• Elaine Grear
• Kayla Green
• Sydnee Monae Green, AA
• Nicole Greene
• Cindy Greenslade, PH.D.
• Corey Ann Gregoire

• Home Health Agency in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.