Green Haven Home Care LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GREEN HAVEN HOME CARE LLC

Practice address

3007 NE 141St St
Vancouver, WA 98686-2258

Phone

(360) 719-2709

Fax

(360) 984-6350

NPI assigned

Oct 18, 2018

Organization subpart

No

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

Authorized official

Name

Veronica Alexandra Escobar, CNA

Title

Provider

Phone

(360) 719-2709

Specialties & licenses 1

Addresses

Other names 1

• Veronica Escobar DBA Green Haven Home Care LLC Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1356817233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3007 NE 141ST ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862258",
            "telephone_number": "360-719-2709",
            "fax_number": "360-984-6350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3007 NE 141ST ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862258",
            "telephone_number": "360-719-2709",
            "fax_number": "360-984-6350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN HAVEN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "ESCOBAR",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "ALEXANDRA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "360-719-2709",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Veronica Escobar DBA Green Haven Home Care LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jordan Graybill, M.D.
• Shelley Ann Graybill, LMP
• Stephen Greaney, M.D.
• Great Northern Consulting
• Great West Family Care PC
• Annika Green
• Baroven Clark Green, RN
• Christine B Green, PSY.D.
• Conan Aram Green, MSW
• Courtney Alyson Green, M.D.

• In Home Supportive Care Agency in Vancouver, WA
• Providers in Vancouver, WA by specialty
• In Home Supportive Care Agency in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.