Green Lakes Village Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GREEN LAKES VILLAGE HOME CARE LLC

Practice address

1828 Walnut St FL 3
Kansas City, MO 64108-1835

Phone

(314) 518-2663

NPI assigned

Apr 21, 2021

Last updated

Apr 21, 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

Terron Garner

Title

Executive Director

Phone

(314) 518-2663

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1618963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1992387864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1828 WALNUT ST FL 3",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641081835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1828 WALNUT ST FL 3",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641081835",
            "telephone_number": "314-518-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN LAKES VILLAGE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-21",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "TERRON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "314-518-2663"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Kansas City, MO
• Providers in Kansas City, MO by specialty
• Home Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.