Provider Demographics
NPI:1851993125
Name:GREENECO NC OPS, INC.
Entity Type:Organization
Organization Name:GREENECO NC OPS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:BRANDON
Authorized Official - Last Name:ADAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:501-932-0050
Mailing Address - Street 1:610 W SUNSET ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65807-3696
Mailing Address - Country:US
Mailing Address - Phone:417-891-1700
Mailing Address - Fax:417-891-1792
Practice Address - Street 1:610 W SUNSET ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MO
Practice Address - Zip Code:65807-3696
Practice Address - Country:US
Practice Address - Phone:417-891-1700
Practice Address - Fax:417-891-1792
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RHC OPERATIONS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-12
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility