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MRS. STEPHANIE A GREEN GROUP HOME PROVIDER
NPI 1417608357
Custodial Care Facility - Adult Care Home in Fort Myers, FL

Active since January 12, 2022
4941 GARY DR, FORT MYERS, FL 33905(239) 410-7524(239) 694-1994 Get Directions Write a Review

NPPES record last updated: January 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Stephanie A Green Group Home Provider NPPES

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

MRS. STEPHANIE A GREEN GROUP HOME PROVIDER (NPI 1417608357) is an individual adult care home provider in Fort Myers, Florida and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1417608357
Entity TypeIndividualFemale
Primary Taxonomy311ZA0620X
Provider Legal NameMRS. STEPHANIE A GREENCredential: GROUP HOME PROVIDER
Location Address4941 GARY DRFort Myers, FL 33905-3633
Mailing Address4941 Gary DrFort Myers, FL 33905-3633 · (239) 410-7524 · Fax (239) 694-1994
Phone(239) 410-7524
Fax(239) 694-1994
Sole ProprietorYes
Enumeration DateJanuary 12, 2022
NPPES CertifiedJanuary 12, 2022
✔ NPI 1417608357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
4941 GARY DR, Fort Myers, FL 33905
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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.

MICHAEL GREEN II
Day Training, Developmentally Disabled Services
4941 GARY DR
FORT MYERS, FL 33905
Lee County (239) 322-6013
MICHAEL GREEN
Day Training, Developmentally Disabled Services
4941 GARY DR
FORT MYERS, FL 33905
Lee County (239) 980-6129

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 Stephanie Green's NPI number?

The NPI number for Stephanie Green is 1417608357. It was assigned to this individual provider in the NPPES registry on January 12, 2022.

Where is Stephanie Green located?

Stephanie Green practices at 4941 Gary Dr, Fort Myers, FL 33905. The listed phone number is (239) 410-7524.

What is Stephanie Green'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 Stephanie Green was last updated on January 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.