GREEN VALLEY HAVEN, LLC
NPI 1164708897
Custodial Care Facility - Adult Care Home in Burlington, NC

Q: What is Green Valley Haven, LLC's NPI number?

The NPI number for Green Valley Haven, LLC is 1164708897. It was assigned to this organization in the NPPES registry on October 26, 2011. The provider is doing business as Green Valley Haven Group Home, Lakeview Care and Wicker Street Group Home.

Q: What is Green Valley Haven, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since October 26, 2011

2528 ANDERSON RD, BURLINGTON, NC 27217(336) 578-0004(336) 578-0004 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Green Valley Haven, Llc NPPES

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

GREEN VALLEY HAVEN, LLC (NPI 1164708897), doing business as Green Valley Haven Group Home, is a healthcare organization registered as an adult care home in Burlington, North Carolina and active in the NPI registry since October 2011. The organization maintains a secondary practice location in Burlington and lists Dorothea Vivian Rogers, Director, as its authorized official.

NPPES Registry Identity

NPI1164708897

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameGREEN VALLEY HAVEN, LLC

Location Address2528 ANDERSON RDBurlington, NC 27217-9101

Mailing AddressPo Box 981Haw River, NC 27258-0981 · (336) 578-0004 · Fax (336) 578-0004

Phone(336) 578-0004

Fax(336) 578-0004

Organization SubpartNo

Authorized OfficialDorothea Vivian RogersDirector · (336) 578-0004

Enumeration DateOctober 26, 2011

Last NPPES UpdateApril 23, 2025

NPPES CertifiedApril 23, 2025

✔ NPI 1164708897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

2528 ANDERSON RD, Burlington, NC 27217

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Other Names 3

Doing Business AsGreen Valley Haven Group Home

Doing Business AsLakeview Care

Doing Business AsWicker Street Group Home

Secondary Practice Location 1

Location 11620 Flora AveBurlington, NC 27217-1018 · Phone (336) 524-3121

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 Valley Haven, LLC's NPI number?

The NPI number for Green Valley Haven, LLC is 1164708897. It was assigned to this organization in the NPPES registry on October 26, 2011. The provider is doing business as Green Valley Haven Group Home, Lakeview Care and Wicker Street Group Home.

Where is Green Valley Haven, LLC located?

Green Valley Haven, LLC is located at 2528 Anderson Rd, Burlington, NC 27217. The listed phone number is (336) 578-0004.

What is Green Valley Haven, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Green Valley Haven, LLC was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.