National Provider Identifier Database

GREEN WILLOW HOME CARE
Nursing Care

A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services.


Contact Information

GREEN WILLOW HOME CARE
1386 PORFIRIO ELIAS WAY
COLTON, CA92324-1635
Phone: 909-835-8887
Fax:
Website:
Specialty Taxonomy Code
* Nursing Care 251J00000X

* Indicates primary specialty

NPI Profile & details for GREEN WILLOW HOME CARE

NPI Number 1356170302
Legal business name
LBN
GREEN WILLOW HOME CARE
Authorized official ROSEMARIE SUM - (LICENSEE/ ADMINISTRATOR)
Entity Organization
Organization subpart No
Enumeration date 07/29/2024
Last updated 07/29/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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