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GREEN HAVEN ADULT DAY PROGRAM LLC
NPI 1770258568
Custodial Care Facility - Adult Care Home in Hazelwood, MO

Active since August 12, 2021
6207 N LINDBERGH BLVD, HAZELWOOD, MO 63042(314) 393-1639 Get Directions Write a Review

NPPES record last updated: August 12, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Green Haven Adult Day Program Llc NPPES

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

GREEN HAVEN ADULT DAY PROGRAM LLC (NPI 1770258568) is a healthcare organization registered as an adult care home in Hazelwood, Missouri and active in the NPI registry since August 2021. The organization lists Tiffany Danielle Green, Program Director, as its authorized official.

NPPES Registry Identity

NPI1770258568
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameGREEN HAVEN ADULT DAY PROGRAM LLC
Location Address6207 N LINDBERGH BLVDHazelwood, MO 63042-2817
Mailing Address914 Timberwood Crossing CtFlorissant, MO 63031-7518 · (314) 393-1639
Phone(314) 393-1639
Organization SubpartNo
Authorized OfficialTiffany Danielle GreenProgram Director · (314) 393-1639
Enumeration DateAugust 12, 2021
NPPES CertifiedAugust 12, 2021
✔ NPI 1770258568 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.
6207 N LINDBERGH BLVD, Hazelwood, MO 63042
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GOLDEN HEART ADULT DAY PROGRAM, LLC
Clinic/Center (Adult Day Care)
6207 N LINDBERGH BLVD
HAZELWOOD, MO 63042
St. Louis County (314) 782-5588
SUNSHINE ADULT DAY CARE FACILITY
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
6207 N LINDBERGH BLVD
HAZELWOOD, MO 63042
St. Louis County (314) 731-8087
MRS. TIFFANY DANIELLE GREEN
Nursing Home Administrator
6207 N LINDBERGH BLVD
HAZELWOOD, MO 63042
St. Louis County (314) 393-1639

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 Adult Day Program LLC's NPI number?

The NPI number for Green Haven Adult Day Program LLC is 1770258568. It was assigned to this organization in the NPPES registry on August 12, 2021.

Where is Green Haven Adult Day Program LLC located?

Green Haven Adult Day Program LLC is located at 6207 N Lindbergh Blvd, Hazelwood, MO 63042. The listed phone number is (314) 393-1639.

What is Green Haven Adult Day Program 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 Haven Adult Day Program LLC was last updated on August 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.