# GREEN VALLEY MEMORY CARE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1184332959
- **Authorized official:** ANALYN LUA DIAZ (OWNER)
- **Authorized official phone:** (702) 863-6095

## Contact information

- **Practice address:** 2321 THAYER AVE, HENDERSON, NV 89074-5367
- **Practice address phone:** (702) 476-8588
- **Mailing address:** 2321 THAYER AVE, HENDERSON, NV 89074-5367
- **Mailing address phone:** (702) 476-8588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 11/10/2022
- **Last updated:** 11/10/2022