MEDICARE: GREEN LEAF HOME CARE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1356298996
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREEN LEAF HOME CARE SERVICES

Provider Business Mailing Address
First Line	:	16160 W DURANGO ST
Second Line	:
City	:	GOODYEAR
State	:	AZ
Zip	:	85338-3443
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16160 W DURANGO ST
Second Line	:
City	:	GOODYEAR
State	:	AZ
Zip	:	85338-3443
Country	:	US
Telephone Number	:	602-727-7044
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	JANAKAY JACKSON
Credential	:
Telephone Number	:	602-727-7044

Provider Enumeration Date	:	03/12/2026
Last Update Date	:	03/12/2026

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Directions to “GREEN LEAF HOME CARE SERVICES ” Practice Location

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