Green Paradise Adult Home Care LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

336427614 Issued in CA

Legal business name

GREEN PARADISE ADULT HOME CARE LLC.

Practice address

19801 Tomahawk Rd
Apple Valley, CA 92307-5013

Phone

(760) 503-1390

Fax

(760) 503-1390

NPI assigned

Jul 25, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Brandon Scott AveryNPI 1225559982

Title

Owner

Phone

(760) 503-1390

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brandon Scott Avery

  • Home Health Aide
  • Apple Valley, CA
  • NPI 1225559982
  NPD Authorized official

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871016444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19801 TOMAHAWK RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923075013",
            "telephone_number": "760-503-1390",
            "fax_number": "760-503-1390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19801 TOMAHAWK RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923075013",
            "telephone_number": "760-503-1390",
            "fax_number": "760-503-1390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN PARADISE ADULT HOME CARE LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-503-1390",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CA",
            "license": "336427614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Granados
• Jessica Vanessa Granados
• Deborah Grace Grant, PA-C
• Jennifer Marie Lewis Grant, LMFT, LPCC
• Green Bridge Living Inc.
• Green Valley Homehealth Services, Inc
• Green Valley Hospice & Paliative Care Inc (Green Valley Hospice & Palliative Care, Inc.)
• Jason Green
• Mack Green, MD
• Emily Grezenski, OTR/L

• Home Health Agency in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Home Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.