Organization · Type 2 NPI
Greenheaven Boarding Home LLC
Adult Care Home Facility · Dallas, TX
NPI number
1215770979
Active
Practice location
3444 Oak Creek Cir
Dallas, TX 75227-5637
Mailing address
2335 Aspen Hill Dr
Forney, TX 75126-3942
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | None listed |
| Community/Behavioral Health Agency | 251S00000X | None listed |
| Adult Day Care Clinic/Center | 261QA0600X | None listed |
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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About NPI 1215770979
Greenheaven Boarding Home LLC's National Provider Identifier is 1215770979, issued on Jun 18, 2024. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Dallas, TX. The record was last updated on Apr 10, 2026.