Green Cross Clinic

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

GREEN CROSS CLINIC

Practice address

10511 N Kendall Dr Ste D203
Miami, FL 33176-1535

Phone

(786) 542-0049

Fax

(786) 542-0200

NPI assigned

Jul 14, 2021

Organization subpart

No

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

Authorized official

Name

Alessandro Moriyon

Title

Director

Phone

(786) 239-2051

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Green Cross Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Green Cross Clinic LLC

  • Community/Behavioral Health Agency
  • Homestead, FL
  • NPI 1427620830
  NPD tax ID

Locations

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1114599529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10511 N KENDALL DR STE D203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761535",
            "telephone_number": "786-542-0049",
            "fax_number": "786-542-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10511 N KENDALL DR STE D203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761535",
            "telephone_number": "786-542-0049",
            "fax_number": "786-542-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN CROSS CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "MORIYON",
        "authorized_official_first_name": "ALESSANDRO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "786-239-2051"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101919200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joan Patricia Greaves, ARNP
• Karina Ebe Greco, MS
• Mattia Greco, APRN
• Green Apple Pediatric Therapy, Inc
• Green Care Staffing Inc.
• Green Cross Health Systems Inc
• Green Cross Health Systems Inc
• Green Cross Home Care Services, Inc.
• Green Cross Inc.
• Green Healthcare LLC

• Case Management Agency in Miami, FL
• Providers in Miami, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.