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

Green Tree Residence LLC

Organization Assisted Living Facility · NPI 1184425092

Green Tree Residence LLC is an Assisted Living Facility in Victorville, California. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
3
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

13741 Burning Tree Dr
Victorville, CA 92395-4806
Phone: (760) 245-2504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X
Assisted Living Facility (Behavioral Disturbances) Taxonomy 3104A0630X
Custodial Care Facility Taxonomy 311Z00000X

Record details

NPI number1184425092
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Martin Ventress — Ceo · (424) 634-0093
NPI enumeratedMarch 24, 2025
Last updated in NPPESMarch 24, 2025
Certification dateMarch 24, 2025
Mailing address13741 Burning Tree Dr, Victorville, CA 92395-4806

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