1033025929 NPI number — ROCKIN' OLDIES II CORPORATION DBA HOME INSTEAD

Table of content: JASMYNE DAWN GREEN (NPI 1679488456)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1033025929 NPI number — ROCKIN' OLDIES II CORPORATION DBA HOME INSTEAD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ROCKIN' OLDIES II CORPORATION DBA HOME INSTEAD
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1033025929
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/20/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5950 CANOGA AVE STE 210
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WOODLAND HILLS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91367-5063
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
818-717-0643
Provider Business Mailing Address Fax Number:
818-717-0646

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5950 CANOGA AVE STE 210
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WOODLAND HILLS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91367-5063
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
818-717-0643
Provider Business Practice Location Address Fax Number:
818-717-0646
Provider Enumeration Date:
08/20/2026

Additional Information

Authorized Official

Authorized Official Last Name:
YI
Authorized Official First Name:
VIVIAN
Authorized Official Middle Name:
Authorized Official Title or Position:
GENERAL MANAGER
Authorized Official Telephone Number:
818-717-0643

Provider Taxonomy Codes

  • Taxonomy code: 253Z00000X , registered in the state of NULL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2026 www.npivalidator.com