Provider Demographics
NPI:1780966796
Name:GREEN VALLEY HOME HEALTH CARE & HOSPICE, INC.
Entity type:Organization
Organization Name:GREEN VALLEY HOME HEALTH CARE & HOSPICE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:NAJMEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHERAZEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-801-7002
Mailing Address - Street 1:3009 DOUGLAS BLVD
Mailing Address - Street 2:160
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95661-3859
Mailing Address - Country:US
Mailing Address - Phone:916-757-6800
Mailing Address - Fax:916-787-1001
Practice Address - Street 1:3009 DOUGLAS BLVD
Practice Address - Street 2:160
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-3859
Practice Address - Country:US
Practice Address - Phone:916-757-6800
Practice Address - Fax:916-787-1001
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-15
Last Update Date:2011-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health