Active NPI
Green Meadows Senior Living, LLC
- Assisted Living Facility
- Johnston, IA
National Provider Identifier
1194190595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- GREEN MEADOWS SENIOR LIVING, LLC
- Practice address
- 6750 Corporate Dr
Johnston, IA 50131-1659 - Phone
- (515) 207-1984
- Fax
- (515) 777-2376
- NPI assigned
- Dec 10, 2015
- 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
- Mrs. Pat Hanson, RN
- Title
- Manager
- Phone
- (515) 207-1984
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
6750 Corporate Dr
Johnston, IA 50131-1659
Mailing address
6750 Corporate Dr
Johnston, IA 50131-1659
Phone (515) 207-1984
Other names 1
- Edencrest at Green Meadows
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D2107867 | Edencrest at Green Meadows | Certificate of waiver | Jan 24, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Courtyard Estates at Cedar Pointe
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Assisted Living Facility
- Pleasant Hill, IA
- NPI 1114147733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1449705600000",
"number": "1194190595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6750 CORPORATE DR",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501311659",
"telephone_number": "515-207-1984",
"fax_number": "515-777-2376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6750 CORPORATE DR",
"city": "JOHNSTON",
"state": "IA",
"postal_code": "501311659",
"telephone_number": "515-207-1984",
"fax_number": "515-777-2376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREEN MEADOWS SENIOR LIVING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-12-10",
"last_updated": "2015-12-10",
"status": "A",
"authorized_official_last_name": "HANSON",
"authorized_official_first_name": "PAT",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "515-207-1984",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Edencrest at Green Meadows",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Johnston, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.