NPIMap

Organization Active NPI

Greenfields Intermediate Care Facility

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Fairfield, CA
National Provider Identifier
1235349291
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
GREENFIELDS INTERMEDIATE CARE FACILITY
Practice address
2673 Vista Bonita
Fairfield, CA 94534-1729
Phone
(707) 429-9774
Fax
(707) 429-9781
NPI assigned
May 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Teresita Reyes, RN
Title
Administrator
Phone
(707) 553-2935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X CA Primary

Addresses

Primary practice location

2673 Vista Bonita
Fairfield, CA 94534-1729

Mailing address

2673 Vista Bonita
Fairfield, CA 94534-1729
Phone (707) 429-9774

Other names 1

  • GREENFIELDS II ICF-DDN Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Greenfields Intemediate Care Facility6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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": "1235349291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2673 VISTA BONITA",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341729",
            "telephone_number": "707-429-9774",
            "fax_number": "707-429-9781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2673 VISTA BONITA",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945341729",
            "telephone_number": "707-429-9774",
            "fax_number": "707-429-9781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELDS INTERMEDIATE CARE FACILITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "TERESITA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "707-553-2935",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GREENFIELDS II ICF-DDN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairfield, CA

Sources for this page

  • 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.