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GREEN TREE RESIDENCE LLC
NPI 1184425092
Assisted Living Facility in Victorville, CA

Active since March 24, 2025
13741 BURNING TREE DR, VICTORVILLE, CA 92395(760) 245-2504 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Green Tree Residence Llc NPPES

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

GREEN TREE RESIDENCE LLC (NPI 1184425092) is a healthcare organization registered as an assisted living facility in Victorville, California and active in the NPI registry since March 2025. The organization lists Martin Michael Ventress, Ceo, as its authorized official.

NPPES Registry Identity

NPI1184425092
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGREEN TREE RESIDENCE LLC
Location Address13741 BURNING TREE DRVictorville, CA 92395-4806
Mailing Address13741 Burning Tree DrVictorville, CA 92395-4806 · (760) 245-2504
Phone(760) 245-2504
Organization SubpartNo
Authorized OfficialMartin Michael VentressCeo · (424) 634-0093
Enumeration DateMarch 24, 2025
NPPES CertifiedMarch 24, 2025
✔ NPI 1184425092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedAssisted Living Facility · Assisted Living, Behavioral DisturbancesTaxonomy 3104A0630X
Also ListedCustodial Care FacilityTaxonomy 311Z00000X
13741 BURNING TREE DR, Victorville, CA 92395
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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 Tree Residence LLC's NPI number?

The NPI number for Green Tree Residence LLC is 1184425092. It was assigned to this organization in the NPPES registry on March 24, 2025.

Where is Green Tree Residence LLC located?

Green Tree Residence LLC is located at 13741 Burning Tree Dr, Victorville, CA 92395. The listed phone number is (760) 245-2504.

What is Green Tree Residence 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 Tree Residence LLC was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.