OrganizationActive
Green Haven Group Home
NPI 1174206957 · Assisted Living Facility · Wylie, TX
Green Haven Group Home is a Assisted Living Facility organization in Wylie, TX (NPI 1174206957).
Provider details
- NPI number
- 1174206957
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Ali Adem, Manager(408) 561-2324
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3111 Creekwood Dr
Wylie, TX 75098-7339
Phone: (408) 561-2324
Street-level locationGet directions
Mailing address
3111 Creekwood Dr
Wylie, TX 75098-7339
Other names (DBA / former)
- Doing business as
- Green Haven Group Home
Registry dates
- Enumerated
- 2023-08-09
- Last updated
- 2023-08-09
- Certified
- 2023-08-09
Frequently asked questions
- What is Green Haven Group Home's NPI number?
- Green Haven Group Home's National Provider Identifier (NPI) is 1174206957, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Green Haven Group Home?
- Green Haven Group Home is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Green Haven Group Home located?
- Green Haven Group Home's practice location on file with NPPES is 3111 Creekwood Dr, Wylie, TX 75098-7339.
- What is Green Haven Group Home's phone number?
- The practice phone number listed in the NPPES registry for Green Haven Group Home is (408) 561-2324.
- Who is the authorized official for Green Haven Group Home?
- The authorized official listed on Green Haven Group Home's NPPES record is Ali Adem, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Green Haven Group Home's NPI active?
- Yes — Green Haven Group Home's NPI (1174206957) is active in the NPPES registry as of the last update on 2023-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.