Provider Demographics
NPI:1306720503
Name:GREENLEAF PERSONAL CARE SERVICES LLC
Entity type:Organization
Organization Name:GREENLEAF PERSONAL CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LASHIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:870-630-7003
Mailing Address - Street 1:305 SAINT FRANCIS AVE
Mailing Address - Street 2:
Mailing Address - City:FORREST CITY
Mailing Address - State:AR
Mailing Address - Zip Code:72335-2872
Mailing Address - Country:US
Mailing Address - Phone:870-261-9950
Mailing Address - Fax:870-261-9125
Practice Address - Street 1:305 SAINT FRANCIS AVE
Practice Address - Street 2:
Practice Address - City:FORREST CITY
Practice Address - State:AR
Practice Address - Zip Code:72335-2872
Practice Address - Country:US
Practice Address - Phone:870-261-9950
Practice Address - Fax:870-261-9125
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty