Greenbrook NH, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF11830962 Issued in FL

Legal business name

GREENBROOK NH, LLC

Practice address

1000 24TH St N
St Petersburg, FL 33713-6838

Phone

(727) 323-4711

Fax

(727) 321-5963

NPI assigned

Jun 17, 2005

Organization subpart

No

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

Authorized official

Name

Moshe Scheiner

Title

Ceo

Phone

(813) 557-6200

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Apollo Health and Rehabilitation Center Doing business as

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624752000000",
    "number": "1902801632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 24TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136838",
            "telephone_number": "727-323-4711",
            "fax_number": "727-321-5963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 24TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136838",
            "telephone_number": "727-323-4711",
            "fax_number": "727-321-5963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBROOK NH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-17",
        "last_updated": "2021-06-27",
        "certification_date": "2021-06-27",
        "status": "A",
        "authorized_official_last_name": "SCHEINER",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-557-6200"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF11830962",
            "primary": true
        },
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0227633-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Apollo Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Apollo Health and Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shannon Green, LMHC
• Caylee Anna Greenberg, MD
• Glen Greenberg
• Scott Aaron Greenberg, D.O
• Alyssa Marlin Greenberger, DMD
• Brittany Greene, PA-C
• Christina Greene, APRN
• David Greene
• Jesse Greene
• Robert E Greene, LCSW

• Skilled Nursing Facility in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.