Greenbrier Village Adult Day Services, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

DC2404-2404 Issued in OK

Legal business name

GREENBRIER VILLAGE ADULT DAY SERVICES, LLC

Practice address

1217 E Owen K Garriott Rd
Suite 216
Enid, OK 73701-6235

Phone

(580) 234-5827

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Herman F Hackett

Title

Owner

Phone

(580) 233-0121

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235348442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 E OWEN K GARRIOTT RD",
            "address_2": "SUITE 216",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737016235",
            "telephone_number": "580-234-5827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 E OWEN K GARRIOTT RD",
            "address_2": "SUITE 216",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737016235",
            "telephone_number": "580-234-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBRIER VILLAGE ADULT DAY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HACKETT",
        "authorized_official_first_name": "HERMAN",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-233-0121",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "OK",
            "license": "DC2404-2404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Clayton Grebe, PHARM.D
• Brandianne Green
• Deborah K Green, D.MIN, LPC
• Sarah Green
• Greenbrier Nursing Home Number Two, Inc
• Gregory D. Thomas, D.D.S., P.C.
• Kurt Grieshober, DDS
• Danesa Griffin
• Shereen Griffin
• Talisha Griffin

• Adult Day Care Clinic/Center in Enid, OK
• Providers in Enid, OK by specialty
• Adult Day Care Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.