Greenelight Workforce, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

GREENELIGHT WORKFORCE, LLC

Practice address

1440 W Prospect Rd
Ashtabula, OH 44004-6668

Phone

(440) 998-5820

Fax

(440) 998-5820

NPI assigned

Dec 17, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Charisse Lillian AliNPI 1396331005

Title

Ceo/Owner

Phone

(440) 998-5820

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charisse Lillian Ali

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Ashtabula, OH
  • NPI 1396331005

  Community Based Residential Treatment Facility, Intellectual and/Or Developmental Disabilities

  NPD Authorized official

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1487240099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 W PROSPECT RD",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046668",
            "telephone_number": "440-998-5820",
            "fax_number": "440-998-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 W PROSPECT RD",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440046668",
            "telephone_number": "440-998-5820",
            "fax_number": "440-998-5820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENELIGHT WORKFORCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "CHARISSE",
        "authorized_official_middle_name": "LILLIAN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "440-998-5820",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy A Graham
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• Robin Lee Green
• Noah Greenawalt
• Tracy L Griffin, STNA
• Susan Marie Griggs
• Brenda Ann Grimes, LISWS
• Angel Gross
• Jennifer Guerrero

• Developmentally Disabled Services Day Training Agency in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Developmentally Disabled Services Day Training Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.