MEDICARE: GREENTECHCONCEPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1598697005
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GREENTECHCONCEPT

Provider Business Mailing Address
First Line	:	400 MARYLAND AVE SW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20202-0001
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	385 PINE CREEK CT
Second Line	:
City	:	WATERFORD
State	:	MI
Zip	:	48327-1586
Country	:	US
Telephone Number	:	248-241-1522
Fax Number	:

Authorized Official
Title or Position	:	INTERN
Name	:	JOSEPH L HUTCHENS
Credential	:	BS/ENG
Telephone Number	:	248-241-1522

Provider Enumeration Date	:	05/30/2026
Last Update Date	:	05/30/2026

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Directions to “GREENTECHCONCEPT ” Practice Location

Language	Start Address	Practice Location

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