Greenleaf Estates, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

GREENLEAF ESTATES, INC.

Doing business as

Faith's House

Practice address

12707 Mardi Gras Dr
Houston, TX 77014-2490

Phone

(832) 371-5325

Fax

(832) 645-0299

NPI assigned

Mar 27, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Shazetta Marie Richardson White, RN

Title

Vice Pres/Coo

Phone

(832) 371-5325

Specialties & licenses 1

Addresses

Other names 1

• FAITH'S HOUSE Doing business as

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522108800000",
    "number": "1457856957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12707 MARDI GRAS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770142490",
            "telephone_number": "832-371-5325",
            "fax_number": "832-645-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12707 MARDI GRAS DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770142490",
            "telephone_number": "832-371-5325",
            "fax_number": "832-645-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLEAF ESTATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-27",
        "last_updated": "2018-03-27",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON WHITE",
        "authorized_official_first_name": "SHAZETTA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "VICE PRES/COO",
        "authorized_official_telephone_number": "832-371-5325",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAITH'S HOUSE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cheryl Greenleaf, PHARMACIST
• Erin Greenleaf, M.D.
• Janet Walters Greenlee, P.A.-C

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Houston, TX
• Providers in Houston, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2018; 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.