Green Valley Home Health LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GREEN VALLEY HOME HEALTH LLC

Doing business as

Green Valley Home Care

Practice address

4760 S Pecos Rd Ste 103
Las Vegas, NV 89121-5828

Phone

(702) 305-5199

NPI assigned

Jun 11, 2024

Organization subpart

No

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

Authorized official

Name

Rob Howard

Title

Owner

Phone

(314) 448-6326

Specialties & licenses 1

Addresses

Other names 1

• Green Valley Home Care Doing business as

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1366284325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W SAHARA AVE UNIT 2706",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891025083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 S PECOS RD STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215828",
            "telephone_number": "702-305-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN VALLEY HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "ROB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-448-6326"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Valley Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tracy Green Kiper
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• Green Valley Surgery Center LLC
• Jaylen Keysaun Green Wilson
• Markida Sharee Green-Brown, LPN
• Jacqueline Green-Ingram
• Victoria Green-Jobe, M.A.

• In Home Supportive Care Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• In Home Supportive Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.