Active NPI
Green Hill Recovery, LLC
- Clinic/Center
- Raleigh, NC
National Provider Identifier
1174159057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.