Greenwell Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GREENWELL HEALTH LLC

Practice address

4045 Elbertson St Apt 242
Elmhurst, NY 11373-2109

Phone

(646) 363-1014

NPI assigned

Mar 17, 2021

Organization subpart

No

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

Authorized official

Name

Elsa Jimenez

Title

Owner

Phone

(646) 363-1014

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1615939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1770168171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 ELBERTSON ST APT 242",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113732109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 ELBERTSON ST APT 242",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113732109",
            "telephone_number": "646-363-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWELL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-17",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "ELSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-363-1014"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cono M Grasso, MD
• Lindsay Marie Grechkosey
• Green Care Center LLC
• Tamar Green, LCSW
• Daniel Scott Greenberger, LMSW
• Gregory M Lopez Odpc
• Ashley Grif
• Svetlana M Grinblat, MD
• Ciara Romualda Grogan, SLP
• Judy A Grossman-Eulau, CASAC

• Home Health Agency in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; 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.