Healthcare Provider Details

I. General information

NPI: 1457287997
Provider Name (Legal Business Name): GREENLEAF COURT SENIOR LIVING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8101 PAINTER AVE
WHITTIER CA
90602-3177
US

IV. Provider business mailing address

4221 WILSHIRE BLVD STE 392
LOS ANGELES CA
90010-3537
US

V. Phone/Fax

Practice location:
  • Phone: 562-698-0596
  • Fax:
Mailing address:
  • Phone: 323-475-1800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: STEVEN ATLAS
Title or Position: MANAGER
Credential:
Phone: 323-475-1800