Green Meadows Home Health Care Inc,

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

99057885 Issued in CA

Legal business name

GREEN MEADOWS HOME HEALTH CARE INC,

Practice address

2204 E 4TH St Ste 200
Santa Ana, CA 92705-3868

Phone

(714) 838-1055

Fax

(714) 838-1300

NPI assigned

Jan 24, 2011

Organization subpart

No

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

Authorized official

Name

Diluvan Shabban Hassan

Title

Ceo

Phone

(949) 674-5325

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Home health agency certification: CCN 059593

Legal name

GREEN MEADOWS HOME HEALTH CARE, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 26, 2013

Last certification

Oct 4, 2019

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jan 23, 2009 in CA

Enrollment address

2204 E 4TH St
# 200
Santa Ana, CA 92705-3868

Listed as

Green Meadows Home Health Care, IncCCN 059593

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Oct 26, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 21

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Mohammed Mahmood Ali, M.D.

  • Family Medicine Physician
  • Lake Forest, CA
  • NPI 1053405506

  Home health agency

  Care Compare affiliation
• Raveen Ramesh Arora, M.D.

  • Cardiovascular Disease Physician
  • Anaheim, CA
  • NPI 1164483244

  Home health agency

  Care Compare affiliation
• Eric Olson Benner, M.D.

  • Internal Medicine Physician
  • Mission Viejo, CA
  • NPI 1063648343

  Home health agency

  Care Compare affiliation
• Bassam R Bilal, M.D.

  • Internal Medicine Physician
  • Laguna Niguel, CA
  • NPI 1306890827

  Home health agency

  Care Compare affiliation
• Charles Blumberg, MD

  • Internal Medicine Physician
  • Laguna Hills, CA
  • NPI 1225532310

  Home health agency

  Care Compare affiliation
• Ruben Cabral, MD

  • Internal Medicine Physician
  • Fullerton, CA
  • NPI 1568458008

  Home health agency

  Care Compare affiliation
• Lauren Kent Davis, D.O.

  • Family Medicine Physician
  • Laguna Niguel, CA
  • NPI 1457647901

  Home health agency

  Care Compare affiliation
• Robert Gabriel Feldman, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Laguna Hills, CA
  • NPI 1194805416

  Home health agency

  Care Compare affiliation
• Mark Peters Foster, M.D.

  • Family Medicine Physician
  • Laguna Hills, CA
  • NPI 1548338908

  Home health agency

  Care Compare affiliation
• Karen Fu, M.D

  • Family Medicine Physician
  • Laguna Niguel, CA
  • NPI 1528007861

  Home health agency

  Care Compare affiliation
• Yunsan Huang, MD

  • Internal Medicine Physician
  • Irvine, CA
  • NPI 1306095963

  Home health agency

  Care Compare affiliation
• David G Huseby, M.D.

  • Internal Medicine Physician
  • Laguna Hills, CA
  • NPI 1164552717

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1457656332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 E 4TH ST STE 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053868",
            "telephone_number": "714-838-1055",
            "fax_number": "714-838-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 E 4TH ST STE 200",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927053868",
            "telephone_number": "714-838-1055",
            "fax_number": "714-838-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN MEADOWS HOME HEALTH CARE INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-24",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "HASSAN",
        "authorized_official_first_name": "DILUVAN",
        "authorized_official_middle_name": "SHABBAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-674-5325"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "99057885",
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": "CA",
            "license": "99057885",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "CA",
            "license": "99057885",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "99057885",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elvin Leroy Grauer, DC
• Kevin Theodore Graves, RBT
• Mary C Graves
• Genevieve Gray
• Kenneth Patrick Grebel, PH.D.
• Brandon Michael Green
• Danielle Lopez Green
• Madeline Carey Green
• Sara Green
• Benjamin Greenberg

• All providers in Santa Ana, CA
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.