FALLON LATRICE GREEN (NPI# 1558833376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558833376 |
| Entity Type | Individual |
| Full Name | FALLON LATRICE GREEN |
| Practice Address |
5967 Nw 21st St Lauderhill FL 33313-7604 |
| Practice Telephone | 3059243333 |
| Mailing Telephone | 3059243333 |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2019-09-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | G650252847490 | FL | Transportation Services |
| Street Address |
5967 NW 21ST ST |
| City | LAUDERHILL |
| State | FL |
| Zip Code | 33313-7604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306469234 | Deidra D Mcclover | Doula | 4430 Nw 13th Court, Lauderhill, FL 33313 | 2020-05-27 |
| 1043831738 | Mh Cares, LLC | Social Worker | 1165 Nw 45terr., Lauderhill, FL 33313 | 2020-05-04 |
| 1629537139 | International Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 6921 Sunset Strip, Sunrise, FL 33313 | 2019-03-14 |
| 1598232225 | South Shore Opticians Lauderhill Inc. | Technician/Technologist | 1375 I North State Road 7, Lauderhill, FL 33313 | 2018-10-31 |
| 1437630399 | Guy Desanctis | Physical Therapy Assistant | 6530 W. Sunrise Blvd, Plantation, FL 33313 | 2018-08-28 |
| 1710467360 | Radiant Private Care, LLC | In Home Supportive Care | 1480 Nw 52nd Ave, Lauderhill, FL 33313 | 2018-08-14 |
| 1851877435 | Jb and Jb Healthcare LLC | Obstetrics & Gynecology | 3001 Nw 49th Ave Ste 300, Lauderdale Lakes, FL 33313 | 2018-07-17 |
| 1447746441 | Walfrido Roque Pinero | Nurse Practitioner | 6738 W Sunrise Blvd Ste 102, Plantation, FL 33313 | 2018-07-03 |
| 1215421813 | Erika Jorgensen | Counselor | 6299 W Sunrise Blvd # 108, Sunrise, FL 33313 | 2018-06-18 |
| 1750884003 | Mgb Behavioral Health Services | Case Management | 4780 N W 24 Court, C215, Lauderhill, FL 33313 | 2018-03-13 |
| Find all providers in zip 33313 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548876733 | Amerktrans Inc | Non-emergency Medical Transport (VAN) | 7481 W Oakland Blvd, 204 C, Lauderhill, FL 33319 | 2020-09-22 |
| 1356889380 | Medway Transport | Non-emergency Medical Transport (VAN) | 7111 Nw 46th Ct, Lauderhill, FL 33319-4061 | 2017-02-09 |
| 1649578220 | B.d. Home Transportation Services | Non-emergency Medical Transport (VAN) | 2301 Nw 41st Ave, Lauderhill, FL 33313-3749 | 2011-03-07 |
| 1881771210 | Ed. Transportation Inc. | Non-emergency Medical Transport (VAN) | 4200 Nw 16th St, Suite 308b, Lauderhill, FL 33313-5899 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255932588 | Gy Med Transport LLC | Non-emergency Medical Transport (VAN) | 1236 Old England Loop, Sanford, FL 32771-6581 | 2020-11-03 |
| 1902406994 | Nds Solutions, Corp. | Non-emergency Medical Transport (VAN) | 3033 Sw 148th Pl, Miami, FL 33185-4089 | 2020-10-28 |
| 1477152965 | On Time Trans Inc. | Non-emergency Medical Transport (VAN) | 4496 20th Pl Sw, Naples, FL 34116-6418 | 2020-10-26 |
| 1619576113 | Cvjv Enterprise Corp | Non-emergency Medical Transport (VAN) | 8180 Nw 36th St Ste 100j, Doral, FL 33166-6650 | 2020-10-26 |
| 1407455082 | Yanet Benitez | Non-emergency Medical Transport (VAN) | 18962 Sw 113th Pl, Miami, FL 33157-7564 | 2020-10-23 |
| 1518566579 | Trans-care of Panama | Non-emergency Medical Transport (VAN) | 401 N Church Ave, Panama City, FL 32401-4763 | 2020-10-21 |
| 1992304224 | Kanton Enzor | Non-emergency Medical Transport (VAN) | 50 Sheline Dr, Havana, FL 32333-4760 | 2020-10-19 |
| 1912506122 | First Response Transport, LLC | Non-emergency Medical Transport (VAN) | 3015 9th Avenue Dr E, Palmetto, FL 34221-2403 | 2020-10-19 |
| 1962009696 | Door To Door Senior Transportation, LLC | Non-emergency Medical Transport (VAN) | 1802 Sw Del Rio Blvd, Port Saint Lucie, FL 34953-1309 | 2020-10-06 |
| 1720685530 | Ricardo Jose Restrepo | Non-emergency Medical Transport (VAN) | 8351 Sands Point Blvd Apt A104, Tamarac, FL 33321-8541 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
| City | LAUDERHILL |
| Zip Code | 33313 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.