Greenfield Place, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0505 Issued in NC

Legal business name

GREENFIELD PLACE, LLC

Practice address

2575 W Fifth St
Greenville, NC 27834-7813

Phone

(252) 830-9100

Fax

(252) 830-8901

NPI assigned

Sep 20, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jason Sherrill

Title

Owner

Phone

(252) 830-9100

Specialties & licenses 1

Addresses

Other identifiers 3

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700872389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 W FIFTH ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347813",
            "telephone_number": "252-830-9100",
            "fax_number": "252-830-8901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 W FIFTH ST",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278347813",
            "telephone_number": "252-830-9100",
            "fax_number": "252-830-8901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELD PLACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHERRILL",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "252-830-9100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7803807",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3425377",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3426338",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Greenville, NC
• Providers in Greenville, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.