Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Green Haven Adult Day Program LLC

Organization Adult Care Home Facility · NPI 1770258568

Green Haven Adult Day Program LLC is an Adult Care Home Facility in Hazelwood, Missouri. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6207 N Lindbergh Blvd
Hazelwood, MO 63042-2817
Phone: (314) 393-1639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X

Record details

NPI number1770258568
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tiffany Green — Program Director · (314) 393-1639
NPI enumeratedAugust 12, 2021
Last updated in NPPESAugust 12, 2021
Certification dateAugust 12, 2021
Mailing address914 Timberwood Crossing Ct, Florissant, MO 63031-7518

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