Green Adult Day Care Center,LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

GREEN ADULT DAY CARE CENTER,LLC

Practice address

5828 Spring Mountain Rd Ste 308B
Las Vegas, NV 89146-8896

Phone

(702) 881-1555

NPI assigned

Nov 21, 2019

Organization subpart

No

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

Authorized official

Name

Bo Wang

Title

President

Phone

(702) 881-1555

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1574294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1336785641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5828 SPRING MOUNTAIN RD STE 308B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468896",
            "telephone_number": "702-881-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5828 SPRING MOUNTAIN RD STE 308B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468896",
            "telephone_number": "702-881-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN ADULT DAY CARE CENTER,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-21",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "BO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-881-1555"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Greb
• Mary Grace Sudario Grecia
• Magda J Greco
• Vicki Greco, J.D.
• Ida Hatague Greek
• Green Desert Dialysis LLC
• Tracy Green Kiper
• Green Valley Anesthesia Services
• Green Valley Home Health LLC
• Green Valley Surgery Center LLC

• Adult Day Care Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Adult Day Care Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.