# GREENSTAFF MEDICAL HOME CARE LLC

> 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
- **Parent organization:** GREENSTAFF HOME CARE LLC
- **Other names:** Greenstaff Home Care LLC Boise
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1538941497
- **Legal business name:** GREENSTAFF HOME CARE LLC
- **Authorized official:** SYLVESTER CASH EDWARDS (PRESIDENT)
- **Authorized official phone:** (208) 964-5382

## Contact information

- **Practice address:** 3597 E MONARCH SKY LN \# F-240, MERIDIAN, ID 83646-1053
- **Practice address phone:** (208) 781-6282
- **Mailing address:** 3597 E MONARCH SKY LN \# F-240, MERIDIAN, ID 83646-1053
- **Mailing address phone:** (208) 781-6282

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/16/2023
- **Last updated:** 10/16/2023