Greenfield of Glassboro LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GREENFIELD OF GLASSBORO LLC

Doing business as

Greenfield Senior Living at Cross Keys

Practice address

3152 Glassboro Cross Keys Rd
Glassboro, NJ 08028-2723

Phone

(856) 307-2100

NPI assigned

Apr 3, 2015

Organization subpart

No

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

Authorized official

Name

Mathew Peponis

Title

Ceo

Phone

(703) 962-9125

Specialties & licenses 1

Addresses

Other names 1

• Greenfield Senior Living at Cross Keys Doing business as

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428019200000",
    "number": "1174918353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6312 SEVEN CORNERS CTR # 161",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220442409",
            "telephone_number": "703-237-5606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3152 GLASSBORO CROSS KEYS RD",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080282723",
            "telephone_number": "856-307-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELD OF GLASSBORO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-03",
        "last_updated": "2015-04-03",
        "status": "A",
        "authorized_official_last_name": "PEPONIS",
        "authorized_official_first_name": "MATHEW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "703-962-9125"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenfield Senior Living at Cross Keys",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Granted Home Care Inc.
• Christine Graves
• Brittany Ashley Gray, PT, DPT
• Alexandra T Green, LPC
• Molly Green
• John R Griffin, LCSW
• Damien Jermaine Grooms
• Katina Grovatt-Powell
• Colleen A Grugan, ATC
• Guardian Programs Adult Medical Day Care

• Assisted Living Facility in Glassboro, NJ
• Providers in Glassboro, NJ by specialty
• Assisted Living Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2015; 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.