Green Park Nursing Home

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

031930 Issued in MO

Legal business name

GREEN PARK NURSING HOME

Practice address

9350 Green Park Rd
Saint Louis, MO 63123-7211

Phone

(314) 845-0900

Fax

(314) 845-0901

NPI assigned

Dec 28, 2005

Organization subpart

No

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

Authorized official

Name

Miss Donna Marie Harp, LNHA

Title

Administrator

Phone

(314) 845-0900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386621613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9350 GREEN PARK RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237211",
            "telephone_number": "314-845-0900",
            "fax_number": "314-845-0901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9350 GREEN PARK RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631237211",
            "telephone_number": "314-845-0900",
            "fax_number": "314-845-0901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN PARK NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARP",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "314-845-0900",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LNHA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "031930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas J Greco, M.D.
• Harry Glyn Greditzer Jr., MD
• Harry Gus Greditzer IV, M.D.
• Green Home Health
• Green Park Leasing Co., LLC
• Green Valley Nursing & Rehabilitation Center LLC
• Kirsten Green-Benson
• Abby Margaret Green, MD
• Abigail F Green, M.A.
• Adriana Green

• Skilled Nursing Facility in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.