NPIMap

Organization Active NPI

Greenacre Homes, Inc.

  • Mental Illness Community Based Residential Treatment Facility
  • Sebastopol, CA
National Provider Identifier
1376209296
Registry record updated Feb 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
GREENACRE HOMES, INC.
Practice address
1534 Hurlbut Ave
Sebastopol, CA 95472-2877
Phone
(707) 823-0282
NPI assigned
Nov 15, 2021
Organization subpart
Yes
Parent organization
GREENACRE HOMES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 28, 2022

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

Authorized official

Name
Rich Aguirre
Title
Administrative Director
Phone
(707) 823-8722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1534 Hurlbut Ave
Sebastopol, CA 95472-2877

Mailing address

438 Eddie LN
Sebastopol, CA 95472-3425
Phone (707) 823-8722

Other names 1

  • Hurlbut Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Greenacre Homes Inc2 organizations share this tax ID, including this one
Part of
Greenacre Homes Inc

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646006400000",
    "number": "1376209296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 EDDIE LN",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723425",
            "telephone_number": "707-823-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1534 HURLBUT AVE",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954722877",
            "telephone_number": "707-823-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENACRE HOMES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREENACRE HOMES, INC.",
        "enumeration_date": "2021-11-15",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A",
        "authorized_official_last_name": "AGUIRRE",
        "authorized_official_first_name": "RICH",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "707-823-8722"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hurlbut",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sebastopol, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.