Green Health CBD, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GREEN HEALTH CBD, LLC

Practice address

1235 NW 40TH Ave
Lauderhill, FL 33313-5801

Phone

(954) 654-1656

NPI assigned

Oct 19, 2018

Last updated

Oct 19, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shaheed Khan

Title

President/Ceo

Phone

(954) 735-1330

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539907200000",
    "number": "1710453410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 NW 40TH AVE",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333135801",
            "telephone_number": "954-654-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 NW 40TH AVE",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333135801",
            "telephone_number": "954-654-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN HEALTH CBD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-19",
        "last_updated": "2018-10-19",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "SHAHEED",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "954-735-1330"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deja Latrell Grayheart
• Demarkus Avery Grayson-Rhule, MS
• Deborah Eve Grayson, LMHC
• Fred Grayson, DC
• Great Dental Care
• Fallon Latrice Green
• Tafia Cora Green
• Stephanie Greer, ATC
• Omar S Griffiths
• Fanshawe Grissette

• Clinic/Center in Lauderhill, FL
• Providers in Lauderhill, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.