# GREENFIELD PLACE, LLC

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

## Provider details

- **NPI number:** 1700872389
- **Authorized official:** MR. JASON SHERRILL (OWNER)
- **Authorized official phone:** (252) 830-9100

## Contact information

- **Practice address:** 2575 W FIFTH ST, GREENVILLE, NC 27834-7813
- **Practice address phone:** (252) 830-9100
- **Practice address fax:** (252) 830-8901
- **Mailing address:** 2575 W FIFTH ST, GREENVILLE, NC 27834-7813
- **Mailing address phone:** (252) 830-9100
- **Mailing address fax:** (252) 830-8901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH0505 | NC | Yes |

## Other

- **Enumeration date:** 09/20/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3425377 | — | NC |
| 05 | — | 3426338 | — | NC |
| 05 | — | 7803807 | — | NC |