NPIMap

Organization Active NPI

Green Acres Family Home Care

  • Assisted Living Facility
  • Harrells, NC
National Provider Identifier
1396010997
Registry record updated Mar 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GREEN ACRES FAMILY HOME CARE
Practice address
6608 Highway 210 East
Harrells, NC 28444-0000
Phone
(910) 337-1611
NPI assigned
Mar 14, 2012
Last updated
Mar 14, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2012

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

Authorized official

Name
Latrisha Green
Title
Owner
Phone
(910) 337-1611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

6608 Highway 210 East
Harrells, NC 28444-0000

Mailing address

PO Box 1535
Roseboro, NC 28382-1535
Phone (910) 337-1611

National Provider Directory

National Provider Directory
Tax ID family
Green Acres Family Care Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1331683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331683200000",
    "number": "1396010997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1535",
            "city": "ROSEBORO",
            "state": "NC",
            "postal_code": "283821535",
            "telephone_number": "910-337-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6608 HIGHWAY 210 EAST",
            "city": "HARRELLS",
            "state": "NC",
            "postal_code": "284440000",
            "telephone_number": "910-337-1611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN ACRES FAMILY HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-14",
        "last_updated": "2012-03-14",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LATRISHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-337-1611"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrells, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2012; 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.