EVERGREEN ELM, INC. (NPI# 1215470992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215470992 |
| Entity Type | Organization |
| Organization Name | EVERGREEN ELM, INC. |
| Practice Address |
50 Main St Bradford PA 16701-6516 |
| Practice Telephone | 8143626853 |
| Practice Fax Number | 8143621048 |
| Mailing Telephone | 8143626853 |
| Mailing Fax Number | 8143621048 |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |
| Authorized Official Name | LORI TRUMBULL (FISCAL DIRECTOR) |
| Authorized Official Telephone | 8143626853 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | ========= | PA | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598936528 | Evergreen Elm, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 71 Main Street, Suite 303, Bradford, PA 16701-2029 | 2008-03-18 |
| Street Address |
50 MAIN ST |
| City | BRADFORD |
| State | PA |
| Zip Code | 16701-6516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557232 | Allison Keller | Pharmacist | 50 Foster Brook Bvld, Bradford, PA 16701 | 2020-10-30 |
| 1043767734 | Asim Makhdom | Orthopaedic Surgery | 195 Pleasant Street, Suite 5, Bradford, PA 16701 | 2016-09-09 |
| 1821435322 | Family Wellness Chiropractic Inc. | Chiropractor | 536 East Main Street, Bradford, PA 16701 | 2013-05-24 |
| 1285983973 | Ashley Lynn Disney | Physician Assistant | 181 Interstate Parkway, Bradford, PA 16701 | 2012-09-10 |
| 1760799563 | Paulinus Joseph Sorg | Physical Therapist | 24 West Washington Street, Bradford, PA 16701 | 2010-09-01 |
| 1215194535 | Jill Lorryn Campbell | Speech-Language Pathologist | 412 Langmaid Ln, Bradford, PA 16701 | 2008-05-22 |
| 1689890048 | Brian Alan Volpe | Dentist | 84 Boylston St, Bradford, PA 16701 | 2007-04-17 |
| 1366564098 | Lori Ann Peterson | Speech-Language Pathologist | 110 Campus Drive, Bradford, PA 16701 | 2007-04-04 |
| 1760507776 | Bruce Lee Sitler | Physical Therapist | Bradford Ecumenical Home, 100 St. Francis Drive, Bradford, PA 16701 | 2007-03-20 |
| 1932294451 | Nancy Marie Fuhrman | Chiropractor | 28 Davis Street, Union Square, Bradford, PA 16701 | 2006-10-03 |
| Find all providers in zip 16701 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528698651 | Cynthia Dolores Mawhinney | In Home Supportive Care | 1278 Main Rd, Bradford, ME 04410-3023 | 2020-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942379 | Client Care Plus LLC | In Home Supportive Care | 5835 Albion Rd, Girard, PA 16417-7415 | 2020-11-05 |
| 1780285015 | Changing Lives With Solutions Home Care Agency LLC | In Home Supportive Care | 4700 City Ave Apt 9405, Philadelphia, PA 19131-8510 | 2020-11-03 |
| 1457952087 | Born Caregivers LLC | In Home Supportive Care | 2208 S Beechwood St, Philadelphia, PA 19145-3410 | 2020-11-02 |
| 1659971364 | Kpmc Group Inc | In Home Supportive Care | 223 South 69th St, Upper Darby, PA 19082 | 2020-10-30 |
| 1154921286 | Ltl Home Care Agency, LLC. | In Home Supportive Care | 603 E Ohio St, Pittsburgh, PA 15212-5619 | 2020-10-28 |
| 1639779846 | Dream Home Care LLC | In Home Supportive Care | 2410 Glendore Dr, Harrisburg, PA 17112-9611 | 2020-10-27 |
| 1609476977 | Bona Fide Care Connections LLC | In Home Supportive Care | 6030 Chester Ave, Philadelphia, PA 19142-1411 | 2020-10-27 |
| 1902405434 | Art Care Home Health Care Agency LLC | In Home Supportive Care | 1409 W Master St Ste 107, Philadelphia, PA 19121-4339 | 2020-10-26 |
| 1437758182 | Elite Eldercare Services Inc | In Home Supportive Care | 327 Devon Dr, Lancaster, PA 17603-4609 | 2020-10-23 |
| 1851990717 | Edwards Direct Home Care Agency, LLC | In Home Supportive Care | 153 E Washington Ln, Philadelphia, PA 19144-2010 | 2020-10-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.