GREEN HERON SENIOR LIVING INC. NPI 1255084737

NPI Information

GREEN HERON SENIOR LIVING, INC. is an assisted living facility in Glendale, AZ. 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. GREEN HERON SENIOR LIVING, INC. NPI is 1255084737. The provider is registered as an organization entity type.

The provider's business location address is:

5125 N 58TH AVE
GLENDALE, AZ
ZIP 85301-453
Phone: (623) 915-5720
Fax: (623) 931-8776

The provider's authorized official is Soon Burnam .
The authorized official title is Treasurer and has the following contact phone number (949) 540-1249.

The enumeration date for this NPI number is 2/3/2022 and was last updated on 2/3/2022.

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:

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.