Greenleaf Adult Family Care Home

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

6906550 Issued in FL

Legal business name

GREENLEAF ADULT FAMILY CARE HOME

Practice address

520 NE 19TH CT
Cape Coral, FL 33909-2708

Phone

(239) 673-7638

NPI assigned

Jul 8, 2013

Last updated

Jul 8, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Feliza M Bachner

Title

Owner

Phone

(239) 673-7638

Specialties & licenses 1

Addresses

Tax ID family

Legacy Healthcare Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Legacy Healthcare Services

  • Clinic/Center
  • Ellisville, MO
  • NPI 1699131573
  NPD tax ID

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

{
    "created_epoch": "1373241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373241600000",
    "number": "1477994499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 NE 19TH CT",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092708",
            "telephone_number": "239-673-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 NE 19TH CT",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339092708",
            "telephone_number": "239-673-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLEAF ADULT FAMILY CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-08",
        "last_updated": "2013-07-08",
        "status": "A",
        "authorized_official_last_name": "BACHNER",
        "authorized_official_first_name": "FELIZA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-673-7638",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "6906550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Greco
• Jalisa Green, CMHC-RI
• Melissa Sue Green
• Misty Dawn Green, D.C.
• Tucker Greene
• Lindsey Greenwell
• Lucia Greer, D.D.S.
• Phillip Michael Gregg, PA-C
• Mackenzie L Griffin, LMT
• David Joseph Grigg

• Adult Care Home Facility in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2013; 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.