Provider Demographics
NPI:1851261192
Name:GREEN HAVEN HOME CARE
Entity type:Organization
Organization Name:GREEN HAVEN HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JORDAN
Authorized Official - Middle Name:P
Authorized Official - Last Name:OROSCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-336-8480
Mailing Address - Street 1:925 E BROADWAY
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92805-4140
Mailing Address - Country:US
Mailing Address - Phone:714-336-8480
Mailing Address - Fax:
Practice Address - Street 1:1411 N BATAVIA ST STE 219
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92867-3526
Practice Address - Country:US
Practice Address - Phone:714-699-4927
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-11
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health