Dominique V Green

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

122 E Main St # 324
Lakeland, FL 33801-4655

Phone

(863) 247-0273

Fax

(863) 291-3767

NPI assigned

Jul 19, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Prosperity Homecare Solutions LLC

  • Homemaker
  • Lakeland, FL
  • NPI 1326838202

  Single Specialty

  NPD Authorized official
• Prosperity Homecare Solutions LLC

  • Non-emergency Medical Transport (VAN)
  • Winter Haven, FL
  • NPI 1780522938
  NPD Authorized official

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

{
    "created_epoch": "1721347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1396583613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 S ORANGE BLOSSOM TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328391704",
            "telephone_number": "689-777-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 E MAIN ST # 324",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338014655",
            "telephone_number": "863-247-0273",
            "fax_number": "863-291-3767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "DOMINIQUE",
        "middle_name": "V",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-19",
        "last_updated": "2024-07-19",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "address_1": "122 E Main St # 324",
            "city": "Lakeland",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338014655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Greater Good Life Services LLC
• Albert Harris Green, ATC, EMT
• Bethany R Green, MSW
• Bryce Allen Green, DO
• Chase Frederick Green, DO
• Karen Shepherd Green
• Suprina Michelle Green
• Grace Elizabeth Greene, DO
• Graham Foley Greene, MD
• Janice Greene, OTR/L

• Homemaker in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Homemaker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.