DARRELLE E GREEN NPI 1235480849

NPI Information

NPI: 1235480849
Provider Name: DARRELLE E GREEN

Doing Business As: GREEN MANOR REST HOME

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
1165 W PARKTON TOBEMORY RD
PARKTON, NC
ZIP 28371
Phone: (910) 858-3826
Get Directions

DARRELLE E GREEN is an assisted living facility in Parkton, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. DARRELLE E GREEN NPI is 1235480849. The provider is registered as an organization entity type.
The provider Is Doing Business As Green Manor Rest Home.

The provider's business location address is:

1165 W PARKTON TOBEMORY RD
PARKTON, NC
ZIP 28371-299
Phone: (910) 858-3826

The provider's authorized official is Darrelle E Green .
The authorized official title is Owner/operator and has the following contact phone number (910) 858-3826.

The enumeration date for this NPI number is 9/21/2012 and was last updated on 9/21/2012.

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
1	310400000X	Assisted Living Facility		HAL-078-090	NORTH CAROLINA	Yes

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: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »