NPIMap

Organization Active NPI

Green Acres Residential Care

  • Assisted Living Facility
  • Tahlequah, OK
National Provider Identifier
1487981437
Registry record updated Nov 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
310400000X Issued in OK
Legal business name
GREEN ACRES RESIDENTIAL CARE
Practice address
612 W Downing St
Tahlequah, OK 74464-2716
Phone
(918) 456-8677
Fax
(918) 456-8677
NPI assigned
Nov 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2009

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

Authorized official

Name
Helen Farris
Title
Administrator
Phone
(918) 456-0704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 310400000X OK Primary

Addresses

Primary practice location

612 W Downing St
Tahlequah, OK 74464-2716

Mailing address

612 W Downing St
Tahlequah, OK 74464-2716
Phone (918) 456-8677

National Provider Directory

National Provider Directory
Tax ID family
Green Acres Residential Care2 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.

NPI Registry JSON

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

{
    "created_epoch": "1257984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257984000000",
    "number": "1487981437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 W DOWNING ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744642716",
            "telephone_number": "918-456-8677",
            "fax_number": "918-456-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 W DOWNING ST",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744642716",
            "telephone_number": "918-456-8677",
            "fax_number": "918-456-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN ACRES RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-12",
        "last_updated": "2009-11-12",
        "status": "A",
        "authorized_official_last_name": "FARRIS",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "918-456-0704"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "OK",
            "license": "310400000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahlequah, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; 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.