Organization Active NPI

Green Care Homes of Tennessee, LLC

  • In Home Supportive Care Agency
  • Nashville, TN
National Provider Identifier
1790078996
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
GREEN CARE HOMES OF TENNESSEE, LLC
Practice address
107 Music City Circle
Suite 116
Nashville, TN 37214
Phone
(615) 649-8288
Fax
(615) 964-7730
NPI assigned
May 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Mr. Moses Green Jr.
Title
Ceo
Phone
(615) 649-8288

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Community/Behavioral Health Agency 251S00000X 1000000015615 TN
Community/Behavioral Health Agency 251S00000X 1000000020969 TN
Community/Behavioral Health Agency 251S00000X 1000000020986 TN
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

107 Music City Circle
Suite 116
Nashville, TN 37214

Mailing address

107 Music City Circle
Suite 116
Nashville, TN 37214
Phone (615) 649-8288

Other names 1

  • Green Care Homes of Tennessee, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

1103 Memorial Blvd
Springfield, TN 37172

NPI Registry JSON

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

{
    "created_epoch": "1305849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1790078996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 MUSIC CITY CIRCLE",
            "address_2": "SUITE 116",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37214",
            "telephone_number": "615-649-8288",
            "fax_number": "615-964-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 MUSIC CITY CIRCLE",
            "address_2": "SUITE 116",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37214",
            "telephone_number": "615-649-8288",
            "fax_number": "615-964-7730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN CARE HOMES OF TENNESSEE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-20",
        "last_updated": "2024-07-31",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MOSES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-649-8288",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "1000000015615",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "1000000020969",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "1000000020986",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Care Homes of Tennessee, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Nashville, TN

Sources for this page

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