NPIMap

Organization Active NPI

Greenfields Health Services Inc

  • Substance Abuse Rehabilitation Facility
  • Carson, CA
National Provider Identifier
1396977237
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
190600AP Issued in CA
Legal business name
GREENFIELDS HEALTH SERVICES INC
Practice address
637 E Albertoni St Ste 109
Carson, CA 90746-1543
Phone
(424) 204-2703
Fax
(310) 626-9754
NPI assigned
Aug 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Clifford Vince Keith, DEPLOMA
Title
Alcohol and Drug Counselor
Phone
(323) 901-2166

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X CA
Substance Abuse Rehabilitation Facility 324500000X 190600AP CA Primary

Addresses

Primary practice location

637 E Albertoni St Ste 109
Carson, CA 90746-1543

Mailing address

637 E Albertoni St Ste 109
Carson, CA 90746-1543
Phone (424) 204-2703

National Provider Directory

National Provider Directory
Tax ID family
Greenfields Health Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1249948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1396977237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 E ALBERTONI ST STE 109",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907461543",
            "telephone_number": "424-204-2703",
            "fax_number": "310-626-9754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 E ALBERTONI ST STE 109",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907461543",
            "telephone_number": "424-204-2703",
            "fax_number": "310-626-9754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELDS HEALTH SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-11",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KEITH",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "VINCE",
        "authorized_official_title_or_position": "ALCOHOL AND DRUG COUNSELOR",
        "authorized_official_telephone_number": "323-901-2166",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DEPLOMA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "190600AP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.