Organization Active NPI

Greencare Mental Health and Family Services

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Springfield, TN
National Provider Identifier
1528579679
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
GREENCARE MENTAL HEALTH AND FAMILY SERVICES
Practice address
203 5TH Ave E Ste 100
Springfield, TN 37172-2420
Phone
(615) 380-8974
Fax
(615) 457-2199
NPI assigned
Oct 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

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

Authorized official

Name
Mr. Moses Green
Title
Ceo
Phone
(615) 238-4638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

203 5TH Ave E Ste 100
Springfield, TN 37172-2420

Mailing address

203 5TH Ave E Ste 100
Springfield, TN 37172-2420
Phone (615) 380-8974

National Provider Directory

National Provider Directory
Tax ID family
Green Care Mental Health Family 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.

NPI Registry JSON

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1528579679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 5TH AVE E STE 100",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371722420",
            "telephone_number": "615-380-8974",
            "fax_number": "615-457-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 5TH AVE E STE 100",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371722420",
            "telephone_number": "615-380-8974",
            "fax_number": "615-457-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENCARE MENTAL HEALTH AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MOSES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-238-4638",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2017; 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.