NPIMap

Organization Active NPI

Greenacre Homes, Inc.

Doing business as Greenacre Homes & School

  • Mental Illness Community Based Residential Treatment Facility
  • Sebastopol, CA
National Provider Identifier
1467118380
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
GREENACRE HOMES, INC.
Doing business as
Greenacre Homes & School
Occidental
Practice address
8211 Occidental Rd
Sebastopol, CA 95472-6424
Phone
(707) 823-0536
NPI assigned
Nov 15, 2021
Last updated
Nov 18, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
GREENACRE HOMES AND SCHOOLAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Authorized official

Name
Rich Aguirre
Title
Administrative Director
Phone
(707) 823-8722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NU Primary

Addresses

Primary practice location

8211 Occidental Rd
Sebastopol, CA 95472-6424

Mailing address

438 Eddie LN
Sebastopol, CA 95472-3425
Phone (707) 823-8722

Other names 2

  • Greenacre Homes & School Doing business as
  • Occidental Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Greenacre Homes Inc2 organizations share this tax ID, including this one
Part of
Greenacre Homes Inc

Other organizations with this tax ID 1

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

  • Greenacre Homes, Inc.

    dba Greenacre Homes and School

    • Mental Illness Community Based Residential Treatment Facility
    • Sebastopol, CA
    • NPI 1629733027
    NPD tax ID

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1636934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1467118380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 EDDIE LN",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723425",
            "telephone_number": "707-823-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8211 OCCIDENTAL RD",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954726424",
            "telephone_number": "707-823-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENACRE HOMES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREENACRE HOMES AND SCHOOL",
        "enumeration_date": "2021-11-15",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "AGUIRRE",
        "authorized_official_first_name": "RICH",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "707-823-8722"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenacre Homes & School",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Occidental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sebastopol, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.