Green Life Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GREEN LIFE HOME CARE, LLC

Practice address

1346 Old Bridge Rd # 6
Woodbridge, VA 22192-2743

Phone

(347) 257-2037

Fax

(571) 302-4880

NPI assigned

Nov 9, 2024

Organization subpart

No

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

Authorized official

Name

Saiful Islam

Title

Administrator

Phone

(347) 257-2037

Specialties & licenses 4

Addresses

Other names 1

• Green Life Home Care, LLC Doing business as

Locations

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

{
    "created_epoch": "1731110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1467276279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 OLD BRIDGE RD # 6",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922743",
            "telephone_number": "347-257-2037",
            "fax_number": "571-302-4880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 OLD BRIDGE RD # 6",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922743",
            "telephone_number": "347-257-2037",
            "fax_number": "571-302-4880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN LIFE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-09",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "ISLAM",
        "authorized_official_first_name": "SAIFUL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "347-257-2037"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Life Home Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Green Life Home Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• In Home Supportive Care Agency in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; 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.