GREENHEAVEN BOARDING HOME LLC
NPI 1215770979
Custodial Care Facility - Adult Care Home in Dallas, TX

Q: What is Greenheaven Boarding Home LLC's NPI number?

The NPI number for Greenheaven Boarding Home LLC is 1215770979. It was assigned to this organization in the NPPES registry on June 18, 2024. The provider is doing business as Greenheaven Boarding Home and Greenheaven Community Home.

Q: What is Greenheaven Boarding Home 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 June 18, 2024

3444 OAK CREEK CIR, DALLAS, TX 75227(214) 695-2894 Get Directions Write a Review

NPPES record last updated: April 10, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Apr 10, 2026, Jun 18, 2024 (2 updates tracked since 2024).

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About Greenheaven Boarding Home Llc NPPES

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

GREENHEAVEN BOARDING HOME LLC (NPI 1215770979), doing business as Greenheaven Boarding Home, is a healthcare organization registered as an adult care home in Dallas, Texas and active in the NPI registry since June 2024. The organization lists John K Maina, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215770979

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameGREENHEAVEN BOARDING HOME LLC

Location Address3444 OAK CREEK CIRDallas, TX 75227-5637

Mailing Address2335 Aspen Hill DrForney, TX 75126-3942 · (214) 695-2894

Phone(214) 695-2894

Organization SubpartNo

Authorized OfficialJohn K MainaCeo · (214) 695-2894

Enumeration DateJune 18, 2024

Last NPPES UpdateApril 10, 20262 updates tracked since enumeration

NPPES CertifiedApril 10, 2026

✔ NPI 1215770979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ 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 ListedDay Training, Developmentally Disabled ServicesTaxonomy 251C00000X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

Also ListedClinic/Center · Adult Day CareTaxonomy 261QA0600X

3444 OAK CREEK CIR, Dallas, TX 75227

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Other Names 2

Doing Business AsGreenheaven Boarding Home

Doing Business AsGreenheaven Community 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 Greenheaven Boarding Home LLC's NPI number?

The NPI number for Greenheaven Boarding Home LLC is 1215770979. It was assigned to this organization in the NPPES registry on June 18, 2024. The provider is doing business as Greenheaven Boarding Home and Greenheaven Community Home.

Where is Greenheaven Boarding Home LLC located?

Greenheaven Boarding Home LLC is located at 3444 Oak Creek Cir, Dallas, TX 75227. The listed phone number is (214) 695-2894.

What is Greenheaven Boarding Home 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 Greenheaven Boarding Home LLC was last updated on April 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.