Provider Demographics
NPI:1750275731
Name:GREEN VALLEY SERVICES LLC
Entity type:Organization
Organization Name:GREEN VALLEY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JACKSON
Authorized Official - Middle Name:
Authorized Official - Last Name:KIGOZI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-408-5357
Mailing Address - Street 1:1308 NE 55TH ST
Mailing Address - Street 2:
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50021-6107
Mailing Address - Country:US
Mailing Address - Phone:515-779-0519
Mailing Address - Fax:
Practice Address - Street 1:1308 NE 55TH ST
Practice Address - Street 2:
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50021-6107
Practice Address - Country:US
Practice Address - Phone:515-779-0519
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)