Organization Active NPI

Greenwood Healthare

  • In Home Supportive Care Agency
  • Richmond HTS, OH
National Provider Identifier
1417673013
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GREENWOOD HEALTHARE
Practice address
4833 Lindsey Oval
Richmond HTS, OH 44143-2931
Phone
(216) 355-2359
NPI assigned
Oct 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Authorized official

Name
Nicole Hawkins, BSW
Title
Ceo
Phone
(216) 355-2359

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

4833 Lindsey Oval
Richmond HTS, OH 44143-2931

Mailing address

4833 Lindsey Oval
Richmond HTS, OH 44143-2931
Phone (216) 355-2359

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665705600000",
    "number": "1417673013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 LINDSEY OVAL",
            "city": "RICHMOND HTS",
            "state": "OH",
            "postal_code": "441432931",
            "telephone_number": "216-355-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4833 LINDSEY OVAL",
            "city": "RICHMOND HTS",
            "state": "OH",
            "postal_code": "441432931",
            "telephone_number": "216-355-2359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWOOD HEALTHARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "216-355-2359",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond HTS, OH

Sources for this page

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