Green Care Mental Health & Family Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1000000020928 Issued in TN

Legal business name

GREEN CARE MENTAL HEALTH & FAMILY SERVICES

Practice address

203 5TH Ave E Ste 100
Springfield, TN 37172-2420

Phone

(615) 380-8974

Fax

(615) 457-2199

NPI assigned

Oct 31, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Moses Edward Green Jr.

Title

Ceo

Phone

(615) 238-4638

Specialties & licenses 1

Addresses

Tax ID family

Green Care Mental Health Family Services2 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.

• Greencare Mental Health and Family Services

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Springfield, TN
  • NPI 1528579679
  NPD tax ID

Locations

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511913600000",
    "number": "1902318918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 FYKES GROVE RD",
            "city": "CEDAR HILL",
            "state": "TN",
            "postal_code": "370325073",
            "telephone_number": "615-380-8974",
            "fax_number": "615-457-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 5TH AVE E STE 100",
            "city": "SPRINGFIELD",
            "state": "TN",
            "postal_code": "371722420",
            "telephone_number": "615-380-8974",
            "fax_number": "615-457-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN CARE MENTAL HEALTH & FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-11-29",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "MOSES",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-238-4638",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "1000000020928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Good Shepherd Home Care Group LLC
• Good Shepherd Home Care Group LLC
• Good Shepherd Home Care Group LLC
• Katherine J Gorman, PHD
• Robin Gould, CFY-SLP
• Ashley Apple Green, RN
• Sara Green, RN
• Greencare Mental Health and Family Services
• Ilyssia Greer, FNP-BC
• Irene Elizabeth Gregory, FNP-BC, AGACNP-BC

• Community/Behavioral Health Agency in Springfield, TN
• Providers in Springfield, TN by specialty
• Community/Behavioral Health Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; 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.