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GREEN LIFE ASSISTED LIVING FACILITY, LLC
NPI 1124423470
Assisted Living Facility in Pompano Beach, FL

Active since October 29, 2014
840 SW 8TH ST, POMPANO BEACH, FL 33060(855) 331-6615(855) 638-4902 Get Directions Write a Review

NPPES record last updated: March 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Green Life Assisted Living Facility, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREEN LIFE ASSISTED LIVING FACILITY, LLC (NPI 1124423470) is a healthcare organization registered as an assisted living facility in Pompano Beach, Florida and active in the NPI registry since October 2014. The organization lists Mari Clark, Ceo, as its authorized official.

NPPES Registry Identity

NPI1124423470
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGREEN LIFE ASSISTED LIVING FACILITY, LLC
Location Address840 SW 8TH STPompano Beach, FL 33060-8214
Mailing Address840 Sw 8th StPompano Beach, FL 33060-8214 · (855) 331-6615 · Fax (855) 638-4902
Phone(855) 331-6615
Fax(855) 638-4902
Organization SubpartNo
Authorized OfficialMari ClarkCeo · (813) 931-1433
Enumeration DateOctober 29, 2014
Last NPPES UpdateMarch 5, 2015
✔ NPI 1124423470 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in FL · AL12577
Definition
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.
840 SW 8TH ST, Pompano Beach, FL 33060
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Other Identifiers 1

Medicaid013937500FL

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

840 SW 8TH LLC
Assisted Living Facility
840 SW 8TH ST
POMPANO BEACH, FL 33060
Broward County (855) 331-6615
AMWIL ASSISTED LIVING
Health Maintenance Organization
840 SW 8TH ST
POMPANO BEACH, FL 33060
Broward County (954) 943-4606

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Green Life Assisted Living Facility, LLC's NPI number?

The NPI number for Green Life Assisted Living Facility, LLC is 1124423470. It was assigned to this organization in the NPPES registry on October 29, 2014.

Where is Green Life Assisted Living Facility, LLC located?

Green Life Assisted Living Facility, LLC is located at 840 SW 8th St, Pompano Beach, FL 33060. The listed phone number is (855) 331-6615.

What is Green Life Assisted Living Facility, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Green Life Assisted Living Facility, LLC was last updated on March 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.