Organization Active NPI

Green Tree Home Care LLC

  • In Home Supportive Care Agency
  • Santee, CA
National Provider Identifier
1821754383
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
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

Updated by the provider on Mar 1, 2024

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.