A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Home Health |
251E00000X | A4[11] | Home Health Agency | |
Adult Day Care |
261QA0600X | |||
Day Training, Developmentally Disabled Services |
251C00000X | |||
Home Delivered Meals |
332U00000X | 87 | All Other Suppliers | |
Homemaker |
376J00000X | |||
In Home Supportive Care |
253Z00000X | |||
Meals |
174200000X | |||
Non-emergency Medical Transport (VAN) |
343900000X | |||
Private Vehicle |
347C00000X | |||
Respite Care |
385H00000X | |||
Respite Care, Intellectual and/or Developmental Disabilities |
385HR2060X |
| NPI # | 1639940547 |
| LBN Legal business name | CLUB GREEN CORPORATION |
| Authorized official | NADIR HAZLY - (EXECUTIVE DIRECTOR) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 01/10/2024 |
| Last updated | 03/31/2024 - About 2 years ago |
| Identifiers | n/a |
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