DARRELLE E GREEN (NPI# 1235480849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235480849 |
| Entity Type | Organization |
| Organization Name | DARRELLE E GREEN |
| Other Organization Name | GREEN MANOR REST HOME |
| Practice Address |
1165 W Parkton Tobemory Rd Parkton NC 28371-0299 |
| Mailing Address |
Po Box 597 Parkton NC 28371-0597 |
| Practice Telephone | 9108583826 |
| Mailing Telephone | 9108583826 |
| Mailing Fax Number | 9108583005 |
| Enumeration Date | 2012-09-21 |
| Last Update Date | 2012-09-21 |
| Authorized Official Name | DARRELLE E GREEN (OWNER/OPERATOR) |
| Authorized Official Telephone | 9108583826 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | HAL-078-090 | NC | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Green Manor Rest Home | Doing Business As Name - Organization |
| Street Address |
1165 W PARKTON TOBEMORY RD |
| City | PARKTON |
| State | NC |
| Zip Code | 28371-0299 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316427859 | Sharon Ruiz | Respiratory Therapist, Registered | 154 David Parnel St, Parkton, NC 28371 | 2018-08-15 |
| 1477079663 | Breathe Rc LLC | Respiratory Therapist, Registered | 154 David Parnell St, Parkton, NC 28371 | 2017-08-18 |
| 1154719367 | Parkton Emergency Medical Services Inc | Ambulance | 19 W. 3rd Street, Parkton, NC 28371 | 2014-12-23 |
| 1184041766 | Aci Support Specialists | Case Management | 1632 Yarboro Road, Parkton, NC 28371 | 2014-03-21 |
| 1578747762 | Green Manor Rest Home, Inc. | Assisted Living Facility | 1083 West Parkton Tobemory Road, Parkton, NC 28371 | 2007-12-24 |
| 1396896353 | Terry Annette Askew | Registered Nurse | 1465 Thoroughbred Trail, Parkton, NC 28371 | 2007-01-16 |
| 1295769149 | Hope Thru Horses Inc | Social Worker | 1860 Armory Rd, Parkton, NC 28371 | 2006-07-10 |
| 1558917179 | Hiede Jean Erickson | Social Worker | 1860 Armory Rd, Parkton, NC 28371 | 2019-08-11 |
| 1649627068 | Destini Edens | Counselor | 1860 Armory Rd, Parkton, NC 28371 | 2016-05-16 |
| 1407884596 | Parkton Family Medical Center | Clinic/Center | 15 W Third St, Parkton, NC 28371 | 2006-06-29 |
| Find all providers in zip 28371 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891159315 | Raintree Healthcare of Parkton LLC | Assisted Living Facility | 1165 West Parkton Tobermory Rd, Parkton, NC 28371-9664 | 2016-04-11 |
| 1578747762 | Green Manor Rest Home, Inc. | Assisted Living Facility | 1083 West Parkton Tobemory Road, Parkton, NC 28371 | 2007-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629689104 | B&b Assisted Living Care LLC | Assisted Living Facility | 9461 Us Hwy 710s, Rowland, NC 28383 | 2020-08-10 |
| 1306465745 | Cedar Senior Living, LLC. | Assisted Living Facility | 670 Cedar Lake Ln, Clinton, NC 28328-8986 | 2020-04-15 |
| 1003444258 | Trinity Developmental Center, LLC | Assisted Living Facility | 4027 Franklin Meadows Dr, Matthews, NC 28105-6935 | 2020-03-31 |
| 1114562147 | Taylor Care Group, LLC | Assisted Living Facility | 1188 Bertha Wilson Rd, Blanch, NC 27212-9795 | 2019-11-13 |
| 1710528377 | Grace Village Inc | Assisted Living Facility | 501 River Bend Dr., Granite Falls, NC 28630 | 2019-10-04 |
| 1336799246 | Tieshquanna Ciare Richardson | Assisted Living Facility | 312 Kilgo St, Clayton, NC 27520-1651 | 2019-09-13 |
| 1326695404 | Snh Nc Tenant LLC | Assisted Living Facility | 5920 Mcchesney Dr, Charlotte, NC 28269-6238 | 2019-08-22 |
| 1659928174 | Coastal Pointe Senior Living LLC | Assisted Living Facility | 5220 Ocean Hwy W, Shallotte, NC 28470-4006 | 2019-08-20 |
| 1861046674 | A1a-arc of Dunn, LLC | Assisted Living Facility | 217 Jonesboro Rd, Dunn, NC 28334-6240 | 2019-07-30 |
| 1679137665 | Kenzi Care LLC | Assisted Living Facility | 668 Wood Rd, Taylorsville, NC 28681 | 2019-04-25 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.