Green Tree House

LBN: Marcee Lynn Hirst
Green Tree House is an health care organization with primary practice located at 368 Greentree Rd , Norco CA 92860-1722. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Marcee Lynn Hirst can be contacted via phone (951) 789-9698, or through Hirst, Greg via phone (951) 789-9698.

Contact Information

Primary practice address
368 Greentree Rd Norco CA 92860-1722
Fax:
Website:
Authorized official contact:
Name: Hirst, Greg

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X 250000742 California

Profile Details

NPI number 1053452789
LBN Legal business name Marcee Lynn Hirst
DBA Doing business as Green Tree House
Authorized official Hirst, Greg
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2007
Last updated Jun 23rd, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053452789 NPPES
California MEDICAID LTC80274F

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