Greenleaf Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GREENLEAF HOMECARE LLC

Practice address

301 McCullough Dr Ste 400
Charlotte, NC 28262-1336

Phone

(980) 276-3066

Fax

(980) 217-7997

NPI assigned

Sep 16, 2020

Organization subpart

No

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

Authorized official

Name

Donyelle Nicole Mitchell-Williams

Title

Ceo/Owner

Phone

(843) 730-1012

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1194331116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 MILL CREEK LN SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280255060",
            "telephone_number": "980-276-3066",
            "fax_number": "980-217-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 MCCULLOUGH DR STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282621336",
            "telephone_number": "980-276-3066",
            "fax_number": "980-217-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLEAF HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "MITCHELL-WILLIAMS",
        "authorized_official_first_name": "DONYELLE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "843-730-1012"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "DWILLIAMS.RMRS@GMAIL.COM",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "DWILLIAMS.RMRS@GMAIL.COM",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "DWILLIAMS.RMRS@GMAIL.COM",
            "address_1": "301 McCullough Dr Ste 400",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282621336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• In Home Supportive Care Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.