Green Hills Estate, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GREEN HILLS ESTATE, LLC

Practice address

1 S Route 9W
Haverstraw, NY 10927-1714

Phone

(845) 429-8411

Fax

(845) 947-2668

NPI assigned

Jan 6, 2020

Last updated

Jan 6, 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. Mark J Sanchez

Title

Administrator

Phone

(845) 429-8411

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578268800000",
    "number": "1770122913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S ROUTE 9W",
            "city": "HAVERSTRAW",
            "state": "NY",
            "postal_code": "109271714",
            "telephone_number": "845-429-8411",
            "fax_number": "845-947-2668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S ROUTE 9W",
            "city": "HAVERSTRAW",
            "state": "NY",
            "postal_code": "109271714",
            "telephone_number": "845-429-8411",
            "fax_number": "845-947-2668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN HILLS ESTATE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A",
        "authorized_official_last_name": "SANCHEZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "845-429-8411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Foyder-Devoe, CSW
• Full Support Inc
• Thamara Gabriel
• Maria Angelica Garcia, FNP
• Green Hills Estate, LLC
• Stanley Greenberg, PH.D
• Lorelei Theresa Greene Tinston
• Havermill Pharmacy (dba millers drug store)
• Haverstraw Ambulance Corps, Inc
• Haverstraw Drugs LLC (Care RX Pharmacy)

• Assisted Living Facility in Haverstraw, NY
• Providers in Haverstraw, NY by specialty
• Assisted Living Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.