# GREEN HOUSE RESIDENCE CARE AND REHABILITATION CENTER 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
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588192454
- **Authorized official:** ISRAEL BIRNBAUM (MANAGER)
- **Authorized official phone:** (718) 650-0219

## Contact information

- **Practice address:** 1010 E 33RD ST, BALTIMORE, MD 21218-3780
- **Practice address phone:** (410) 554-9890
- **Mailing address:** 585 PROSPECT ST STE 304, LAKEWOOD, NJ 08701-5073

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 05/23/2017
- **Last updated:** 05/23/2017