# GREENING HOME HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003643578
- **Authorized official:** MOHAMOUD EGAL (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (651) 347-1747

## Contact information

- **Practice address:** 2800 E ENTERPRISE AVE STE 333, APPLETON, WI 54913-7889
- **Practice address phone:** (763) 485-1011
- **Mailing address:** 2800 E ENTERPRISE AVE STE 333, APPLETON, WI 54913-7889
- **Mailing address phone:** (763) 485-1011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | — |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | — |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/18/2024
- **Last updated:** 03/05/2025