Greenacre Homes, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

GREENACRE HOMES, INC.

Doing business as

Greenacre Homes and School
Joyce Drive

Practice address

7760 Joyce Dr
Sebastopol, CA 95472-2651

Phone

(707) 823-8792

NPI assigned

Nov 1, 2021

Organization subpart

Yes

Parent organization

GREENACRE HOMES AND SCHOOLAs reported in NPPES

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

Authorized official

Name

Rich Aguirre

Title

Administrative Director

Phone

(707) 823-8722

Specialties & licenses 1

Addresses

Other names 2

• Greenacre Homes and School Doing business as
• Joyce Drive Doing business as

Tax ID family

Greenacre Homes Inc2 organizations share this tax ID, including this one

Part of

Greenacre Homes Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Greenacre Homes, Inc.

  dba Greenacre Homes & School

  • Mental Illness Community Based Residential Treatment Facility
  • Sebastopol, CA
  • NPI 1467118380
  NPD tax ID

Locations

Practitioners 4

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

• Danielle Laura Amorelli, LMFT

  • Marriage & Family Therapist
  • Sebastopol, CA
  • NPI 1457015026
  NPD (past)
• Charles Philip Andrews

  • Rehabilitation Practitioner
  • Sebastopol, CA
  • NPI 1699403972
  NPD (past)
• Anthony Ezirm

  • Counselor
  • Sebastopol, CA
  • NPI 1215665583
  NPD (past)
• Lauren Foster

  • Rehabilitation Practitioner
  • Sebastopol, CA
  • NPI 1114623642
  NPD (past)

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637193600000",
    "number": "1629733027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 EDDIE LN",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723425",
            "telephone_number": "707-823-8722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7760 JOYCE DR",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954722651",
            "telephone_number": "707-823-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENACRE HOMES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREENACRE HOMES AND SCHOOL",
        "enumeration_date": "2021-11-01",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A",
        "authorized_official_last_name": "AGUIRRE",
        "authorized_official_first_name": "RICH",
        "authorized_official_title_or_position": "ADMINISTRATIVE DIRECTOR",
        "authorized_official_telephone_number": "707-823-8722"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenacre Homes and School",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Joyce Drive",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Gray, LAC
• Barry Seth Green, OD
• Greenacre Homes, Inc. (Greenacre Homes & School)
• Greenacre Homes, Inc. (Hurlbut)
• Greenacre Homes, Inc. (Greenacre Homes & School)
• Susan Greenberg, GNP, RN
• Greenbriar Emergency Physicians Medical Group, Inc.
• Lynette Grelet
• Ann-Elizabeth Griego, MD
• Growth Spurt Pediatric Therapy, Inc.

• Mental Illness Community Based Residential Treatment Facility in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• Mental Illness Community Based Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; 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.