OrganizationActive
Green Haven Adult Day Program LLC
NPI 1770258568 · Adult Care Home Facility · Hazelwood, MO
Provider details
- NPI number
- 1770258568
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tiffany Green, Program Director(314) 393-1639
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(62/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
6207 N Lindbergh Blvd
Hazelwood, MO 63042-2817
Phone: (314) 393-1639
Street-level locationGet directions
Mailing address
914 Timberwood Crossing Ct
Florissant, MO 63031-7518
Registry dates
- Enumerated
- 2021-08-12
- Last updated
- 2021-08-12
- Certified
- 2021-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.