GREENFIELDS HOME NPI 1174713226

NPI Information

  • NPI: 1174713226
  • Provider Name: GREENFIELDS HOME
  • Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
  • Entity Type: Organization
  • CLIA Number: 05D1089830
  • Address: 116 MORGAN CT
    VALLEJO, CA
    ZIP 94591
  • Phone: (707) 553-2935

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NPI Details

GREENFIELDS HOME is a community based residential treatment facility, intellectual and/or developmental disabilities in Vallejo, CA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. GREENFIELDS HOME NPI is 1174713226. The provider is registered as an organization entity type.

The provider's business location address is:

116 MORGAN CT
VALLEJO, CA
ZIP 94591-452
Phone: (707) 553-2935
Fax: (707) 553-2993

The provider's authorized official is Teresita Cabab Reyes .
The authorized official title is Administrator and has the following contact phone number (707) 553-2935.

The CLIA number assigned to this NPI record is 05D1089830 - intermediate care facility for mentally retarded with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/25/2007 and was last updated on 7/25/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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