Organization Active NPI

Greens Nursing and Assisted Living, L.L.C.

  • Assisted Living Facility
  • Lyndhurst, OH
National Provider Identifier
1356532006
Registry record updated Oct 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
5192 Issued in OH
Legal business name
GREENS NURSING AND ASSISTED LIVING, L.L.C.
Practice address
1575 Brainard Rd
Lyndhurst, OH 44124-3096
Phone
(440) 460-1000
Fax
(440) 460-1414
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2017

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

Authorized official

Name
Marilyn Weaver
Title
Assistant Secretary
Phone
(502) 596-7563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 5192 OH Primary

Addresses

Primary practice location

1575 Brainard Rd
Lyndhurst, OH 44124-3096

Mailing address

680 S 4TH St
Louisville, KY 40202-2407
Phone (502) 596-7301

National Provider Directory

National Provider Directory
Tax ID family
Greens Nursing and Assisted Living LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1356532006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S 4TH ST",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022407",
            "telephone_number": "502-596-7301",
            "fax_number": "502-596-4134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 BRAINARD RD",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441243096",
            "telephone_number": "440-460-1000",
            "fax_number": "440-460-1414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENS NURSING AND ASSISTED LIVING, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "502-596-7563"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OH",
            "license": "5192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; 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.