The Green Wave Project, Inc.

Primary specialty

Secured Medical Transport (VAN)Taxonomy code 343800000X

Legal business name

THE GREEN WAVE PROJECT, INC.

Practice address

8 Stark Rd
Worcester, MA 01602-4127

Phone

(508) 735-8044

Fax

(508) 798-0867

NPI assigned

Dec 30, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Allen Knoll

Title

Ceo

Phone

(508) 735-8044

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1325203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325203200000",
    "number": "1215207758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 STARK RD",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016024127",
            "telephone_number": "508-735-8044",
            "fax_number": "508-798-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 STARK RD",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016024127",
            "telephone_number": "508-735-8044",
            "fax_number": "508-798-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GREEN WAVE PROJECT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-30",
        "last_updated": "2011-12-30",
        "status": "A",
        "authorized_official_last_name": "KNOLL",
        "authorized_official_first_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "508-735-8044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MA",
            "license": "3027345",
            "primary": false
        },
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347E00000X",
            "taxonomy_group": "",
            "desc": "Transportation Broker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Commonwealth of Massachusetts
• The Commonwealth of Massachusetts
• The Commonwealth of Massachusetts
• The Dermatology Center of Worcester LLC
• The Golub Corporation
• The Horizon Behavioral Health LLC
• The Hurowitz Medical Group
• The Movement Junction
• The Stop & Shop Supermarket Company, LLC
• Litgmie Nazaire Theard

• Secured Medical Transport (VAN) in Worcester, MA
• Providers in Worcester, MA by specialty
• Secured Medical Transport (VAN) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2011; 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.