Green Evolution Service LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

GREEN EVOLUTION SERVICE LLC

Practice address

269 N University Dr Ste H
Pembroke Pines, FL 33024-6715

Phone

(786) 369-6034

NPI assigned

Mar 4, 2024

Organization subpart

No

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

Authorized official

Name

Leslie Garcia NovoaNPI 1861063398

Title

President

Phone

(786) 369-6034

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carina Diez de Sollano, LCSW

  • Clinical Social Worker
  • Pembroke Pines, FL
  • NPI 1215204433
  Medicare reassignment NPD
• Leslie Garcia Novoa

  • Social Worker
  • Miami, FL
  • NPI 1861063398
  NPD Authorized official
• Yacsuy Alfaro

  • Behavior Technician
  • Cutler Bay, FL
  • NPI 1205388113
  NPD (past)

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1487411633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 N UNIVERSITY DR STE H",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246715",
            "telephone_number": "786-369-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 N UNIVERSITY DR STE H",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246715",
            "telephone_number": "786-369-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN EVOLUTION SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-04",
        "status": "A",
        "authorized_official_last_name": "GARCIA NOVOA",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-369-6034"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guianeya Grau Gonzalez
• Howard Mark Graubard, M.D.
• Jamie Greear, D.M.D.
• Green Cross Health Systems Inc
• Green Cross of Pembroke Pines
• Melissa J Green, D.O.
• Zajah Gloriana Green
• Michael Glenn Greenberg, M.D.
• Susan Greenberg, LCSW
• Benjamin Greenberger, M.D.

• Case Management Agency in Pembroke Pines, FL
• Providers in Pembroke Pines, 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 Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.