NPIMap

Organization Active NPI

Greenstaff Medical Home Care LLC

Doing business as Greenstaff Medical Staffing

  • In Home Supportive Care Agency
  • Phoenix, AZ
National Provider Identifier
1366164600
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GREENSTAFF MEDICAL HOME CARE LLC
Doing business as
Greenstaff Medical Staffing
Practice address
3101 N Central Ave Ste 950
Phoenix, AZ 85012-2703
Phone
(469) 480-6583
Fax
(469) 562-0010
NPI assigned
Sep 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Authorized official

Name
Cash Edwards
Title
President
Phone
(208) 964-5382

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

3101 N Central Ave Ste 950
Phoenix, AZ 85012-2703

Mailing address

3101 N Central Ave Ste 950
Phoenix, AZ 85012-2703
Phone (469) 480-6583

Other names 1

  • Greenstaff Medical Staffing Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Greenstaff Home Care8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3101 N Central Ave
Ste 950
Phoenix, AZ 85012
Phone (469) 480-6583

NPI Registry JSON

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

{
    "created_epoch": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697414400000",
    "number": "1366164600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 N CENTRAL AVE STE 950",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122703",
            "telephone_number": "469-480-6583",
            "fax_number": "469-562-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 N CENTRAL AVE STE 950",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122703",
            "telephone_number": "469-480-6583",
            "fax_number": "469-562-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENSTAFF MEDICAL HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "CASH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-964-5382"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenstaff Medical Staffing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greenstaff Medical Staffing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; 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.