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General NPI Number Information
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NPI Number | 1457656332
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Entity Type | Organization
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Legal Business Name | GREEN MEADOWS HOME HEALTH CARE INC,
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Dates
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Enumeration Date | 01/24/2011
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 2204 E 4TH ST STE 200
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City | SANTA ANA
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State | CA
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Zip | 92705-3868
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Country | US
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Telephone | 714-838-1055
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Fax | 714-838-1300
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Provider Business Mailing Address
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Address Line | 2204 E 4TH ST STE 200
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City | SANTA ANA
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State | CA
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Zip | 92705-3868
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Country | US
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Telephone | 714-838-1055
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Fax | 714-838-1300
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Authorized Official
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Title or Position | CEO
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Name | DILUVAN SHABBAN HASSAN
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Credential |
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Telephone | 949-674-5325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 99057885
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number | 99057885
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 99057885
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 99057885
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License Number State | CA
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