Healthcare Provider Details

I. General information

NPI: 1942137534
Provider Name (Legal Business Name): LUXURY GREEN SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 GRATTAN ST
BROOKLYN NY
11206-3807
US

IV. Provider business mailing address

25 OAKWOOD BLVD
BAY SHORE NY
11706-5852
US

V. Phone/Fax

Practice location:
  • Phone: 347-274-1715
  • Fax:
Mailing address:
  • Phone: 347-274-1715
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: JASMINE GREEN
Title or Position: PRESIDENT
Credential:
Phone: 516-712-7533