Greenleaf Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL8051 Issued in FL

Legal business name

GREENLEAF ASSISTED LIVING LLC

Practice address

509 Verona St
Kissimmee, FL 34741-5114

Phone

(407) 931-3995

Fax

(407) 931-2722

NPI assigned

Nov 5, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Dana Scott

Title

Cfo

Phone

(813) 731-8312

Specialties & licenses 1

Addresses

Other names 1

• All Seasons Assisted Living Doing business as

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

{
    "created_epoch": "1383609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383609600000",
    "number": "1619306164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 VERONA ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415114",
            "telephone_number": "407-931-3995",
            "fax_number": "407-931-2722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 VERONA ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347415114",
            "telephone_number": "407-931-3995",
            "fax_number": "407-931-2722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENLEAF ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-05",
        "last_updated": "2013-11-05",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "813-731-8312",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All Seasons Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James Frederick Green III, PT, DPT
• Sashena Green
• Shakema Natalia Green, BEHAVIOR TECHNICIAN
• Shari Lynn Green, LMHC
• Kerry-Ann Patria Greenland
• Brianna M Gregg
• Kelly Lorain Gregg, RN
• Marie Bertude Gregoire
• Annette Gregory
• Stella Gress Mazzillo

• Assisted Living Facility in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 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.