Organization Active NPI

Club Green Corporation

  • Home Health Agency
  • Akron, OH
National Provider Identifier
1639940547
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CLUB GREEN CORPORATION
Practice address
190 N Union St Ste 303
Akron, OH 44304-1362
Phone
(330) 400-4310
NPI assigned
Jan 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Nadir Hazly
Title
Executive Director
Phone
(216) 647-1162

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Meals Provider 174200000X
Developmentally Disabled Services Day Training Agency 251C00000X
Home Health Agency 251E00000X Primary
In Home Supportive Care Agency 253Z00000X
Adult Day Care Clinic/Center 261QA0600X
Home Delivered Meals 332U00000X
Non-emergency Medical Transport (VAN) 343900000X
Private Vehicle 347C00000X
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X
Respite Care 385H00000X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X

Addresses

Primary practice location

190 N Union St Ste 303
Akron, OH 44304-1362

Mailing address

190 N Union St Ste 303
Akron, OH 44304-1362
Phone (330) 400-4310

Other names 2

  • Better Care Provider Network Doing business as
  • Club Green Doing business as

National Provider Directory

National Provider Directory

Locations

190 N Union St
Ste 303
Akron, OH 44304
Phone (330) 400-4310

NPI Registry JSON

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1639940547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 N UNION ST STE 303",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041362",
            "telephone_number": "330-400-4310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 N UNION ST STE 303",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041362",
            "telephone_number": "330-400-4310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLUB GREEN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "HAZLY",
        "authorized_official_first_name": "NADIR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "216-647-1162"
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Better Care Provider Network",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Better Care Provider Network",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Club Green",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.