Organization Active NPI

Green Acres Plumbing, LLC

  • Customized Equipment (DME)
  • Woodbridge, VA
National Provider Identifier
1992140875
Registry record updated May 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
2705143738 Issued in VA
Legal business name
GREEN ACRES PLUMBING, LLC
Practice address
11681 Bacon Race Rd
Woodbridge, VA 22192-5717
Phone
(703) 680-0981
NPI assigned
May 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2013

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

Authorized official

Name
Jeff Migliaccio
Title
President/Ceo
Phone
(703) 680-2380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 2705143738 VA Primary

Addresses

Primary practice location

11681 Bacon Race Rd
Woodbridge, VA 22192-5717

Mailing address

11681 Bacon Race Road
Woodbridge, VA 22192
Phone (703) 680-0981

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1367798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367798400000",
    "number": "1992140875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11681 BACON RACE ROAD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "22192",
            "telephone_number": "703-680-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11681 BACON RACE RD",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221925717",
            "telephone_number": "703-680-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN ACRES PLUMBING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-06",
        "last_updated": "2013-05-06",
        "status": "A",
        "authorized_official_last_name": "MIGLIACCIO",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "703-680-2380"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "VA",
            "license": "2705143738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2013; 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.