Eco Green Corporation

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

ECO GREEN CORPORATION

Doing business as

Eco Green Corporation
Green Health

Practice address

3274 98TH Cir N
Brooklyn Park, MN 55443-1846

Phone

(612) 433-4555

NPI assigned

Oct 30, 2020

Last updated

Oct 25, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joshua Olugbolahan JubrilNPI 1932617891

Title

Owner

Phone

(952) 228-1055

Specialties & licenses 5

Addresses

Other names 2

• Eco Green Corporation Doing business as
• Green Health Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Joshua Jubril

  • Personal Care Attendant
  • Golden Valley, MN
  • NPI 1932617891
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698192000000",
    "number": "1093315780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 BASS LAKE RD STE 320M",
            "city": "BROOKLYN CENTER",
            "state": "MN",
            "postal_code": "554293072",
            "telephone_number": "952-228-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3274 98TH CIR N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554431846",
            "telephone_number": "612-433-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECO GREEN CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2023-10-25",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "JUBRIL",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "OLUGBOLAHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-228-1055"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251T00000X",
            "taxonomy_group": "",
            "desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eco Green Corporation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Green Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Counselor in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.