Active NPI
Green Tree Home Care LLC
- In Home Supportive Care Agency
- Santee, CA
National Provider Identifier
1821754383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- GREEN TREE HOME CARE LLC
- Practice address
- 9466 Cuyamaca St Ste 102
Santee, CA 92071-5923 - Phone
- (858) 261-8679
- NPI assigned
- Nov 9, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jonna Overson
- Title
- Ceo
- Phone
- (858) 261-8679
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
9466 Cuyamaca St Ste 102
Santee, CA 92071-5923
Mailing address
9466 Cuyamaca St Ste 1
Santee, CA 92071-5922
Phone (858) 261-8679
National Provider Directory
National Provider DirectoryLocations
9466 Cuyamaca St
Ste 1
Santee, CA 92071
9466 Cuyamaca St
Ste 102
Santee, CA 92071
Phone (858) 261-8679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709251200000",
"number": "1821754383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9466 CUYAMACA ST STE 1",
"city": "SANTEE",
"state": "CA",
"postal_code": "920715922",
"telephone_number": "858-261-8679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9466 CUYAMACA ST STE 102",
"city": "SANTEE",
"state": "CA",
"postal_code": "920715923",
"telephone_number": "858-261-8679"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREEN TREE HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-11-09",
"last_updated": "2024-03-01",
"certification_date": "2024-03-01",
"status": "A",
"authorized_official_last_name": "OVERSON",
"authorized_official_first_name": "JONNA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "858-261-8679"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.