# GREEN MEADOW HOMES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Green Meadow Homes, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548796626
- **Authorized official:** MR. REYNALDO NUNAG LAGMAN (CEO)
- **Authorized official phone:** (702) 338-8760

## Contact information

- **Practice address:** 2460 W. 229TH STREET, TORRANCE, CA 90501
- **Practice address phone:** (424) 378-1101
- **Practice address fax:** (424) 378-1102
- **Mailing address:** 2340 PLAZA DEL AMO SUITE 235, TORRANCE, CA 90501
- **Mailing address phone:** (310) 782-1002
- **Mailing address fax:** (310) 782-1003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 05/10/2017
- **Last updated:** 10/01/2018