Green Supportive Care

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

GREEN SUPPORTIVE CARE

Practice address

708 E Sharpnack St
Phila, PA 19119-1535

Phone

(215) 528-2926

NPI assigned

Aug 11, 2016

Organization subpart

No

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

Authorized official

Name

Shardai Green

Title

Member-LLC

Phone

(215) 528-2926

Specialties & licenses 1

Addresses

Practitioners 1

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

• Sherry Green, MSW, LBS

  • Social Worker
  • Philadelphia, PA
  • NPI 1285017251
  NPD (past)

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

{
    "created_epoch": "1470873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470873600000",
    "number": "1164976700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 E SHARPNACK ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191191535",
            "telephone_number": "215-528-2926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 E SHARPNACK ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191191535",
            "telephone_number": "215-528-2926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN SUPPORTIVE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-11",
        "last_updated": "2016-08-11",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "SHARDAI",
        "authorized_official_title_or_position": "MEMBER-LLC",
        "authorized_official_telephone_number": "215-528-2926"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Raquel Gray, B.S.ED.
• Graysferry Medical Center
• Great American Optical
• Greater Philadelphia Health Action, Inc.
• Greater Philadelphia Health Action, Inc.
• Joshua Green, M.D.
• Roxanne Alicia Green, MPH
• Linda Greenbaum, MD
• Ruth L. Greenberg, PH.D.
• Steven M. Greenfield, M.D.

• Developmentally Disabled Services Day Training Agency in Phila, PA
• Providers in Phila, PA by specialty
• Developmentally Disabled Services Day Training Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2016; 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.