Organization Active NPI

Greendeal Homecare Service LLC

  • Home Health Agency
  • Winston Salem, NC
National Provider Identifier
1306694500
Registry record updated May 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
GREENDEAL HOMECARE SERVICE LLC
Doing business as
greendeal homecare service llc
Practice address
608 N Cameron Ave
Winston Salem, NC 27101-3304
Phone
(336) 624-9033
NPI assigned
May 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2024

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

Authorized official

Name
Mr. Nathan J Wilson Jr.NPI 1538916713
Title
Cooking Cleaning
Phone
(336) 624-9033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

608 N Cameron Ave
Winston Salem, NC 27101-3304

Mailing address

608 N Cameron Ave
Winston Salem, NC 27101-3304
Phone (336) 624-9033

Other names 1

  • greendeal homecare service llc Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1715385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715385600000",
    "number": "1306694500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 N CAMERON AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013304",
            "telephone_number": "336-624-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 N CAMERON AVE",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271013304",
            "telephone_number": "336-624-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENDEAL HOMECARE SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-11",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "NATHAN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "COOKING CLEANING",
        "authorized_official_telephone_number": "336-624-9033",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "greendeal homecare service llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2024; 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.