Green Leaf Home Care, L.L.C

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

GREEN LEAF HOME CARE, L.L.C

Practice address

2593 Airdale Dr
Greenville, MS 38703-1918

Phone

(662) 907-1200

NPI assigned

Nov 27, 2017

Organization subpart

No

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

Authorized official

Name

Pamela C. WoodsNPI 1770095663

Title

Owner

Phone

(662) 907-1200

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela C. Woods, CNA

  • Nurse's Aide
  • Greenville, MS
  • NPI 1770095663
  NPD (past) Authorized official

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

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511740800000",
    "number": "1992219158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2593 AIRDALE DR",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387031918",
            "telephone_number": "662-907-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2593 AIRDALE DR",
            "city": "GREENVILLE",
            "state": "MS",
            "postal_code": "387031918",
            "telephone_number": "662-907-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN LEAF HOME CARE, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-27",
        "last_updated": "2017-11-27",
        "status": "A",
        "authorized_official_last_name": "WOODS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-907-1200"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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