Provider Demographics
NPI:1346883154
Name:GREEN HILLS ESTATE, LLC
Entity Type:Organization
Organization Name:GREEN HILLS ESTATE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATOR/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:845-429-8411
Mailing Address - Street 1:1 S ROUTE 9W
Mailing Address - Street 2:
Mailing Address - City:HAVERSTRAW
Mailing Address - State:NY
Mailing Address - Zip Code:10927-1714
Mailing Address - Country:US
Mailing Address - Phone:845-429-8411
Mailing Address - Fax:
Practice Address - Street 1:1 S ROUTE 9W
Practice Address - Street 2:
Practice Address - City:HAVERSTRAW
Practice Address - State:NY
Practice Address - Zip Code:10927-1714
Practice Address - Country:US
Practice Address - Phone:845-429-8411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-24
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility