Larry Green

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

111 S Byrne Rd
Toledo, OH 43615-6212

Phone

(419) 531-5544

Fax

(419) 531-5117

NPI assigned

Oct 27, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Philio, Inc.

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1124367545
  NPD
• Philio, Inc.

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1528124567
  NPD

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608249600000",
    "number": "1427658673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20068",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436100068",
            "telephone_number": "419-531-5544",
            "fax_number": "419-531-5117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S BYRNE RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436156212",
            "telephone_number": "419-531-5544",
            "fax_number": "419-531-5117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "LARRY",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-12-18",
        "certification_date": "2020-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katiea Green
• Keira Lishae Green
• Kelly Green, RRT
• Kenneth Green
• Kenya Green
• Mathew Joseph Green
• Oliver Green
• Terry Bernard Green II
• Vonshaye Camille Green
• Yvette Marie Green X

• All providers in Toledo, OH
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2020; 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.