Green Cross Clinic LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GREEN CROSS CLINIC LLC

Practice address

950 N Krome Ave Ste 405
Homestead, FL 33030-4443

Phone

(305) 557-3444

Fax

(305) 557-3445

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

(305) 910-7011

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 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

  • Case Management Agency
  • Miami, FL
  • NPI 1114599529
  NPD tax ID

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": "1427620830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N KROME AVE STE 405",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304443",
            "telephone_number": "305-557-3444",
            "fax_number": "305-557-3445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N KROME AVE STE 405",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304443",
            "telephone_number": "305-557-3444",
            "fax_number": "305-557-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN CROSS CLINIC LLC",
        "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": "305-910-7011"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018864901",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@greencrossclinic.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "950 N Krome Ave Ste 405",
            "city": "Homestead",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330304443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Alfton Greene
• Enzro Glenford Greenidge, MD
• Melissa Elena Greiver
• Domonique Daezhah Grier

• Community/Behavioral Health Agency in Homestead, FL
• Providers in Homestead, FL by specialty
• Community/Behavioral Health 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.