Candice Camille Green, CLPN

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

170003387 Issued in TN

Practice address

5100 Poplar Ave FL 27
Memphis, TN 38137-2701

Phone

(662) 815-0547

Fax

(901) 878-3181

NPI assigned

Jun 5, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Greater Community Home Healthcare, LLC

  • Home Health Agency
  • Memphis, TN
  • NPI 1750983664
  NPD Authorized official

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1629637459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 POPLAR AVE FL 27",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381372701",
            "telephone_number": "662-815-0547",
            "fax_number": "901-878-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 POPLAR AVE FL 27",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381372701",
            "telephone_number": "662-815-0547",
            "fax_number": "901-878-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "CANDICE",
        "middle_name": "CAMILLE",
        "credential": "CLPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "TN",
            "license": "170003387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "170003387",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "gchh.llc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business E-mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5100 Poplar Ave Fl 27",
            "city": "Memphis",
            "state": "TN",
            "country_code": "US",
            "postal_code": "381372701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amanda Green, MD
• Amy Hulsey Green, PHARM.D.
• Brian A Green, MD
• Caitlin Renae Green, PSY.D
• Calvin Shay Green, D.O.
• Christopher Brian Green, M.D.
• Daniel Michael Green, MD
• Douglas Green Jr.
• Jackson Tucker Green, DDS
• Jammie D Green

• Home Health Agency in Memphis, TN
• Providers in Memphis, TN by specialty
• Home Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.