Greenleaf Senior Care Inc

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

License

940016 Issued in IA

Legal business name

GREENLEAF SENIOR CARE INC

Practice address

1305 N 22ND St
Fort Dodge, IA 50501-2117

Phone

(515) 955-4145

Fax

(515) 955-1731

NPI assigned

Nov 9, 2006

Last updated

Oct 30, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Judy Fowler

Title

Administrator

Phone

(515) 955-4145

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1336219146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 N 22ND ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505012117",
            "telephone_number": "515-955-4145",
            "fax_number": "515-955-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 N 22ND ST",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505012117",
            "telephone_number": "515-955-4145",
            "fax_number": "515-955-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLEAF SENIOR CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "FOWLER",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "515-955-4145",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "IA",
            "license": "940016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0809335",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0896365",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lynnette A Graesing, ARNP
• Great Plains Orthotics & Prosthetics, Inc (Hanger Clinic)
• Emma Green, LISW
• Scott G Green, MD
• Greenleaf Health Care
• Jamey L Gregersen, ARNP
• Melissa Dawn Grell, FNP
• Paige Griffin
• Teresa Claire Gubernath, D.C.
• Dean Lee Guerdet

• Nursing Care Agency in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Nursing Care Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.