Greenside 25 Incorporated

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

GREENSIDE 25 INCORPORATED

Doing business as

Compassionate Connections

Practice address

2428 Katina Dr
Flower Mound, TX 75028-7578

Phone

(214) 208-5920

NPI assigned

Feb 13, 2012

Organization subpart

No

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

Authorized official

Name

Kyle Hawkins

Title

Program Manager

Phone

(214) 208-5920

Specialties & licenses 1

Addresses

Other names 1

• Compassionate Connections Doing business as

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1902179518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 KATINA DR",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750287578",
            "telephone_number": "214-208-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 KATINA DR",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750287578",
            "telephone_number": "214-208-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENSIDE 25 INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "214-208-5920"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Compassionate Connections",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melanie Gray, D.O.
• Green Hills Associates PLLC
• Chad C Green, D.D.S.
• Destiny Green
• Marlo Greenfield
• Mackenzie Greer
• Olesya Bodyu Griffith, FNP-C
• Rachel Elizabeth Grim
• Kristyn Grisko, LPC
• Wayne Alden Grisso III, DC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Flower Mound, TX
• Providers in Flower Mound, TX by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.