Organization Active NPI

Green House Adult Family Home, Inc.

  • Adult Care Home Facility
  • Spokane, WA
National Provider Identifier
1174964928
Registry record updated Jul 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
751172 Issued in WA
Legal business name
GREEN HOUSE ADULT FAMILY HOME, INC.
Practice address
2304 E 5TH Ave
Spokane, WA 99202-4170
Phone
(509) 535-2005
Fax
(509) 536-7854
NPI assigned
Jul 9, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2013

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

Authorized official

Name
Ms. Francine Green, NAR
Title
Ceo
Phone
(509) 535-2005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 751172 WA Primary

Addresses

Primary practice location

2304 E 5TH Ave
Spokane, WA 99202-4170

Mailing address

2304 E 5TH Ave
Spokane, WA 99202-4170
Phone (509) 535-2005

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1373328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1174964928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2304 E 5TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024170",
            "telephone_number": "509-535-2005",
            "fax_number": "509-536-7854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 E 5TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992024170",
            "telephone_number": "509-535-2005",
            "fax_number": "509-536-7854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN HOUSE ADULT FAMILY HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-09",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "FRANCINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "509-535-2005",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NAR"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "WA",
            "license": "751172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2013; 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.