Green House Project CDC Inc

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

GREEN HOUSE PROJECT CDC INC

Practice address

228 Irene St
Fayetteville, NC 28301-4787

Phone

(910) 676-0362

NPI assigned

May 31, 2024

Organization subpart

No

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

Authorized official

Name

Costella Green

Title

President

Phone

(910) 676-0362

Specialties & licenses 7

Addresses

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

{
    "created_epoch": "1717113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1730929274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1566",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283021566",
            "telephone_number": "910-676-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 IRENE ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283014787",
            "telephone_number": "910-676-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN HOUSE PROJECT CDC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-31",
        "last_updated": "2024-05-31",
        "certification_date": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "COSTELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-676-0362"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Great Minds Think Alike, PLLC
• Greater Image Healthcare, Corp
• Greater Image Healthcare, Inc.
• Greater Love Home Care LLC
• Greater Visions Foundation
• Amanda De'Nee Green-Harrington, LCMHC
• Carla P Green
• Christopher Green, LAT,ATC
• Cynthia Green
• Dayjah Green

• Respite Care in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Respite Care in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; 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.