=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942137534
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LUXURY GREEN SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/06/2026
-----------------------------------------------------
Last Update Date | 05/06/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 13 GRATTAN ST
-----------------------------------------------------
City | BROOKLYN
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11206-3807
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-274-1715
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 25 OAKWOOD BLVD
-----------------------------------------------------
City | BAY SHORE
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11706-5852
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 347-274-1715
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | JASMINE GREEN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 516-712-7533
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 343900000X
-----------------------------------------------------
Taxonomy Name | Non-emergency Medical Transport (VAN)
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------