NPIMap

Organization Active NPI

Greenacre Homes, Inc.

Doing business as Greenacre Homes & School

  • Mental Illness Community Based Residential Treatment Facility
  • Sebastopol, CA
National Provider Identifier
1184396301
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
GREENACRE HOMES, INC.
Doing business as
Greenacre Homes & School
Practice address
438 Eddie LN
Sebastopol, CA 95472-3425
Phone
(707) 823-8722
NPI assigned
Oct 5, 2021
Last updated
Oct 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

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

Authorized official

Name
Mr. Rich Aguirre
Title
Administrative Director
Phone
(707) 823-8722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

438 Eddie LN
Sebastopol, CA 95472-3425

Mailing address

438 Eddie LN
Sebastopol, CA 95472-3425
Phone (707) 823-8722

Other practice location 1

7760 Joyce Dr
Sebastopol, CA 95472-2651
Phone (707) 823-8792

Other practice location 2

8211 Occidental Rd
Sebastopol, CA 95472-6424
Phone (707) 823-0536

Other practice location 3

1534 Hurlbut Ave
Sebastopol, CA 95472-2877
Phone (707) 823-0282

Other names 1

  • Greenacre Homes & School Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Greenacre Homes Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635206400000",
    "number": "1184396301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 EDDIE LN",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723425",
            "telephone_number": "707-823-8722",
            "fax_number": "707-823-3730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "438 EDDIE LN",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723425",
            "telephone_number": "707-823-8722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7760 Joyce Dr",
            "address_purpose": "LOCATION",
            "city": "Sebastopol",
            "state": "CA",
            "postal_code": "954722651",
            "country_code": "US",
            "telephone_number": "707-823-8792",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8211 Occidental Rd",
            "address_purpose": "LOCATION",
            "city": "Sebastopol",
            "state": "CA",
            "postal_code": "954726424",
            "country_code": "US",
            "telephone_number": "707-823-0536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1534 Hurlbut Ave",
            "address_purpose": "LOCATION",
            "city": "Sebastopol",
            "state": "CA",
            "postal_code": "954722877",
            "country_code": "US",
            "telephone_number": "707-823-0282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREENACRE HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A",
        "authorized_official_last_name": "AGUIRRE",
        "authorized_official_first_name": "RICH",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "707-823-8722",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenacre Homes & School",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greenacre Homes & School",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sebastopol, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.