Organization Active NPI

Green Hill Recovery, LLC

  • Clinic/Center
  • Raleigh, NC
National Provider Identifier
1174159057
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GREEN HILL RECOVERY, LLC
Practice address
6112 Saint Giles St
Raleigh, NC 27612-7043
Phone
(828) 228-6148
Fax
(984) 204-8076
NPI assigned
Mar 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2021

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

Authorized official

Name
J. Eulan Johnson
Title
Ceo
Phone
(828) 228-6148

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

6112 Saint Giles St
Raleigh, NC 27612-7043

Mailing address

6112 Saint Giles St
Raleigh, NC 27612-7043
Phone (984) 204-8076

National Provider Directory

National Provider Directory

Locations

723 W Johnson St
Ste 100
Raleigh, NC 27603
Phone (984) 204-1106

6112 Saint Giles St
Raleigh, NC 27612
Phone (919) 782-3870

NPI Registry JSON

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627430400000",
    "number": "1174159057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6112 SAINT GILES ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276127043",
            "telephone_number": "984-204-8076",
            "fax_number": "984-204-8076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6112 SAINT GILES ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276127043",
            "telephone_number": "828-228-6148",
            "fax_number": "984-204-8076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN HILL RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-23",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "EULAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "828-228-6148"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; 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.