Green Acre LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

GREEN ACRE LLC

Practice address

1214 Sharon Rd
Canton, MS 39046-8814

Phone

(601) 503-4432

NPI assigned

Jun 24, 2013

Organization subpart

No

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

Authorized official

Name

Angela Wilbert, MHA

Title

Consultant

Phone

(601) 503-4432

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1871932772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 JACKS PL",
            "city": "BRANDON",
            "state": "MS",
            "postal_code": "390474450",
            "telephone_number": "602-503-4432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1214 SHARON RD",
            "city": "CANTON",
            "state": "MS",
            "postal_code": "390468814",
            "telephone_number": "601-503-4432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN ACRE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "WILBERT",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "601-503-4432",
        "authorized_official_credential": "MHA"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Canton, MS
• Providers in Canton, MS by specialty
• Adult Day Care Clinic/Center in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.