Green Gables Care Home

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

GREEN GABLES CARE HOME

Practice address

1549 Douglas Ave
Clovis, CA 93611-3124

Phone

(559) 297-4152

Fax

(661) 209-3076

NPI assigned

Mar 1, 2021

Last updated

Jul 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Lorik Sheakalee

Title

Administrator/Owner

Phone

(559) 307-0950

Specialties & licenses 2

Addresses

Tax ID family

Green Gables Care Home2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Green Gables Care Home

  • Assisted Living Facility
  • Clovis, CA
  • NPI 1205709318
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Robert Norman Sheakalee, ADMINISTRATOR

  • Home Health Aide
  • Clovis, CA
  • NPI 1144897257
  NPD

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

{
    "created_epoch": "1614556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626307200000",
    "number": "1891380986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2481",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913862481",
            "telephone_number": "559-307-0950",
            "fax_number": "661-209-3076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1549 DOUGLAS AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936113124",
            "telephone_number": "559-297-4152",
            "fax_number": "661-209-3076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN GABLES CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-01",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A",
        "authorized_official_last_name": "SHEAKALEE",
        "authorized_official_first_name": "LORIK",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "559-307-0950",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John W. Graneto, D.O.
• Franie Lasconia Gravidez
• Rachel Graziani, MS
• Robert K Grazier, MD
• Green Gables Care Home
• Green Lotus Therapy & Consulting, Inc
• Green Sports Medicine Inc
• Courtney Lee Green, LMFT
• Erick Joseph Green Jr., MD
• Richard Green, PA-C

• Social Worker in Clovis, CA
• Providers in Clovis, CA by specialty
• Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2021; 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.