GREEN ACRES RESIDENTIAL CARE FACILITY, LLC
NPI 1861868135
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Farmington, MO
About Green Acres Residential Care Facility, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREEN ACRES RESIDENTIAL CARE FACILITY, LLC (NPI 1861868135) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Farmington, Missouri and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through October 31, 2026 and lists Holly Green, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 26D2121210
Green Acres Residential Care Facility, LLC · Farmington, MOOther Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Acres Residential Care Facility, LLC's NPI number?
The NPI number for Green Acres Residential Care Facility, LLC is 1861868135. It was assigned to this organization in the NPPES registry on August 20, 2015.
Where is Green Acres Residential Care Facility, LLC located?
Green Acres Residential Care Facility, LLC is located at 3688 Sand Creek Rd, Farmington, MO 63640. The listed phone number is (573) 756-2917.
What is Green Acres Residential Care Facility, LLC's specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
Does Green Acres Residential Care Facility, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D2121210) is associated with this NPI, valid through October 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Green Acres Residential Care Facility, LLC was last updated on August 20, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Green Acres Residential Care Facility, Llc · NPI 1861868135
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities organization in Farmington, Missouri. Organization record, active in the CMS NPPES registry since August 20, 2015.
## Identity
- **NPI:** 1861868135 (Entity type: Organization)
- **Enumerated:** August 20, 2015
- **Primary specialty:** Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · taxonomy 320900000X
- **Organization subpart:** No
- **Authorized official:** Holly Green, OWNER
## Practice location
- **Address:** 3688 SAND CREEK RD, Farmington, MO 63640-7350
- **Phone:** (573) 756-2917
## Record status
- **NPPES last updated:** August 20, 2015
- **Other identifiers:** Medicaid 043352 (MO)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1861868135) · Data from the CMS NPPES public registry.