Green Meadows Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GREEN MEADOWS ASSISTED LIVING LLC

Practice address

1103 S Oneida St
Green Bay, WI 54304-2453

Phone

(614) 316-4299

NPI assigned

May 17, 2023

Last updated

May 17, 2023By 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. Ahmed Said

Title

Admin

Phone

(614) 316-4299

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1710678065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 S ONEIDA ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543042453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 S ONEIDA ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543042453",
            "telephone_number": "614-316-4299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN MEADOWS ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "SAID",
        "authorized_official_first_name": "AHMED",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "614-316-4299",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Green Bay Senior Living, Inc. (Cottonwood Manor Assisted Living)
• Green Bay Surgical Center
• Rebecca L Green Blanks, MSW, APSW
• Green Ride LLC
• Green River Trans LLC
• Alex Jonathan Green, CAA
• Carli Green, DC
• G. Lynn Green, APNP

• Assisted Living Facility in Green Bay, WI
• Providers in Green Bay, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.