| Organization Name: | GREEN VALLEY HOME CARE, INC. |
| NPI Number: | 1154557015 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHRISTINA M JEFFCOAT (VICE PRESIDENT) |
| Mailing Address: | 2325 Renaissance Dr Suite A Las Vegas |
| State: | NV US |
| Postal Code: | 891196199 |
| Phone Number: | 7025681176 |
| Fax Number: | 7025681194 |
| NPI Enumeration Date: | 06/05/2009 |
| NPI Last Update Date: | 03/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |