Greenheaven Boarding Home LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

GREENHEAVEN BOARDING HOME LLC

Practice address

3444 Oak Creek Cir
Dallas, TX 75227-5637

Phone

(214) 695-2894

NPI assigned

Jun 18, 2024

Organization subpart

No

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

Authorized official

Name

John K Maina, RNNPI 1841143427

Title

Ceo

Phone

(214) 695-2894

Specialties & licenses 4

Addresses

Other names 2

• Greenheaven Boarding Home Doing business as
• Greenheaven Community Home Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Kamau Maina

  • Registered Nurse
  • Sacramento, CA
  • NPI 1841143427
  NPD Authorized official

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775779200000",
    "number": "1215770979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 ASPEN HILL DR",
            "city": "FORNEY",
            "state": "TX",
            "postal_code": "751263942",
            "telephone_number": "214-695-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3444 OAK CREEK CIR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752275637",
            "telephone_number": "214-695-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENHEAVEN BOARDING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-18",
        "last_updated": "2026-04-10",
        "certification_date": "2026-04-10",
        "status": "A",
        "authorized_official_last_name": "MAINA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-695-2894",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenheaven Boarding Home",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greenheaven Community Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pam R. Greene, M.A., L.P.C.S.
• Robert Wolfe Greene, MD,PHD
• Jessica Howard Greenemeier, PA-C
• Charles Fish Greenfield, M.D.
• Sarah Lairmore Greenfield
• Greenleaf Medical Supply LLC
• Greenleaf Solutions LLC
• Margaret Greenleaf IX, CT AND EIS, FQ
• Summer Elisabeth Greenlee, LPC
• Donna Greenman

• Adult Care Home Facility in Dallas, TX
• Providers in Dallas, TX by specialty
• Adult Care Home Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; 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.