Green Willow Home Care

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

GREEN WILLOW HOME CARE

Practice address

1386 Porfirio Elias Way
Colton, CA 92324-1635

Phone

(909) 835-8887

NPI assigned

Jul 29, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Rosemarie Atienza Sum

Title

Licensee/ Administrator

Phone

(909) 835-8706

Specialties & licenses 1

Addresses

Practitioners 1

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

• Rosemarie Sumadsad

  • Nursing Home Administrator
  • Rialto, CA
  • NPI 1861911174
  NPD

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1356170302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 S WILLOW AVE",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923767845",
            "telephone_number": "909-835-8706",
            "fax_number": "909-341-5647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1386 PORFIRIO ELIAS WAY",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923241635",
            "telephone_number": "909-835-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN WILLOW HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "SUM",
        "authorized_official_first_name": "ROSEMARIE",
        "authorized_official_middle_name": "ATIENZA",
        "authorized_official_title_or_position": "LICENSEE/ ADMINISTRATOR",
        "authorized_official_telephone_number": "909-835-8706",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Goul
• Marilyn Kay Gove, FNP
• Jimmica Graham, RN
• Richard Martin Grandquist III, PA-C
• Carroll Grays
• Evelyn Green
• Kimberley Green
• Jackie Jenice Greene
• Manpreet Kaur Grewel, DO
• Kalie Marie Griep

• Nursing Care Agency in Colton, CA
• Providers in Colton, CA by specialty
• Nursing Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.