Provider Demographics
NPI:1326769597
Name:GOGREEN FARMS AND GREENHOUSES INC
Entity Type:Organization
Organization Name:GOGREEN FARMS AND GREENHOUSES INC
Other - Org Name:SYNERGY POWERED BY GOGREEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:BREON
Authorized Official - Middle Name:DE'SHAWN
Authorized Official - Last Name:CLEMONS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:434-594-0005
Mailing Address - Street 1:4513 MARLIN AVE
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23435-2378
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5107 MORELAND ST
Practice Address - Street 2:
Practice Address - City:SUFFOLK
Practice Address - State:VA
Practice Address - Zip Code:23435-3438
Practice Address - Country:US
Practice Address - Phone:434-594-0005
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GOGREEN FARMS AND GREENHOUSES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-07
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No341600000XTransportation ServicesAmbulance
No343800000XTransportation ServicesSecured Medical Transport (VAN)
No347E00000XTransportation ServicesTransportation Broker