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GREEN HAVEN GROUP HOME
NPI 1174206957
Assisted Living Facility in Wylie, TX

Active since August 09, 2023
3111 CREEKWOOD DR, WYLIE, TX 75098(408) 561-2324 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Green Haven Group Home NPPES

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

GREEN HAVEN GROUP HOME (NPI 1174206957) is a healthcare organization registered as an assisted living facility in Wylie, Texas and active in the NPI registry since August 2023. The organization lists Ali Adem, Manager, as its authorized official.

NPPES Registry Identity

NPI1174206957
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGREEN HAVEN GROUP HOME
Location Address3111 CREEKWOOD DRWylie, TX 75098-7339
Mailing Address3111 Creekwood DrWylie, TX 75098-7339 · (408) 561-2324
Phone(408) 561-2324
Organization SubpartNo
Authorized OfficialAli AdemManager · (408) 561-2324
Enumeration DateAugust 9, 2023
NPPES CertifiedAugust 9, 2023
✔ NPI 1174206957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
3111 CREEKWOOD DR, Wylie, TX 75098
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Other Names 1

Doing Business AsGreen Haven Group Home

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 Haven Group Home's NPI number?

The NPI number for Green Haven Group Home is 1174206957. It was assigned to this organization in the NPPES registry on August 9, 2023.

Where is Green Haven Group Home located?

Green Haven Group Home is located at 3111 Creekwood Dr, Wylie, TX 75098. The listed phone number is (408) 561-2324.

What is Green Haven Group Home'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 Haven Group Home was last updated on August 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.