EVERGREEN HOME HEALTH & HOSPICE CARE, LLC (NPI# 1275953903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275953903 |
| Entity Type | Organization |
| Organization Name | EVERGREEN HOME HEALTH & HOSPICE CARE, LLC |
| Practice Address |
620 Se Everett Mall Way Suite 210 Everett WA 98208-3278 |
| Practice Telephone | 4254788679 |
| Enumeration Date | 2014-04-21 |
| Last Update Date | 2014-04-21 |
| Authorized Official Name | EDIK SAROYAN (OWNER) |
| Authorized Official Telephone | 4254788679 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315D00000X | Hospice, Inpatient | IHS.FS.60348177 | WA | Nursing & Custodial Care Facilities |
| Street Address |
620 SE EVERETT MALL WAY SUITE 210 |
| City | EVERETT |
| State | WA |
| Zip Code | 98208-3278 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356341978 | Sevan Pharmacy LLC | Pharmacist | 620 Se Everett Mall Way, Suite 210, Everett, WA 98208-3278 | 2005-07-26 |
| 1720451958 | Dr. Xochitl Palomino Nd, LLC | Naturopath | 620 Se Everett Mall Way, Suite 210b, Everett, WA 98208-3278 | 2015-11-10 |
| 1871737148 | Sabrina Michaela Ott | Massage Therapist | 620 Se Everett Mall Way, Suite 275, Everett, WA 98208-3278 | 2009-04-29 |
| 1578617197 | Donald P Reynolds | Technician/Technologist | 620 Se Everett Mall Way, #320, Everett, WA 98208-3278 | 2007-01-22 |
| 1295736981 | Irina D Milman | Internal Medicine | 620 Se Everett Mall Way, St. 220, Everett, WA 98208-3278 | 2005-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270296 | Kenneth Britt Dyer | Registered Nurse | 10333 19th Ave, Se, Ste #109, Everett, WA 98208 | 2018-06-27 |
| 1518482215 | Glacier Peak Healthcare, Inc. | Home Health | 10530 19th Ave Se Ste 201, Everett, WA 98208 | 2017-08-03 |
| 1114454865 | Aliza Kreisman | Registered Nurse | 11020 19th Avenue Se, Kaiser Permanente of Washington Seattle Care Clinic, Everett, WA 98208 | 2017-05-12 |
| 1902269418 | Clay Eakin | Counselor | 2732 Grand Evenue, Everett, WA 98208 | 2016-04-01 |
| 1467810259 | Elizabeth Anne Powley | Marriage & Family Therapist | 1920 100th Street Southeast, Bld C3, Everett, WA 98208 | 2016-02-08 |
| 1659745842 | Andrea Rose Bedlington | Pharmacist | 11407 33rd Dr. Se, Everett, WA 98208 | 2015-11-25 |
| 1396123865 | Sound Surgeons Pllc | Clinic/Center | 125 130th Street Se, 1st Floor, Everett, WA 98208 | 2015-05-15 |
| 1831576537 | Chris Sturgeon | Counselor | 10102 Meridian Ave, Everett, WA 98208 | 2015-05-01 |
| 1982011128 | James M Lee | Physical Therapist | 10821 19th Ave Se Ste 102, Everett, WA 98208 | 2014-07-21 |
| 1972937357 | Ronald Tracy | Dentist | 10315 19th Avenue Se Suite 110, Everett, WA 98208 | 2013-08-21 |
| Find all providers in zip 98208 | ||||
| Taxonomy Code | 315D00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Hospice, Inpatient |
| A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient. |
| Notes: Source: AHA Guide, American Hospital Association. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558596361 | Archstone Adult Family Home, LLC | Hospice, Inpatient | 18611 114th Ave Se, Renton, WA 98055-7124 | 2009-05-22 |
| 1447217559 | Peacehealth | Hospice, Inpatient | 2800 Douglas Avenue, Bellingham, WA 98225 | 2006-05-01 |
| 1760475255 | Hospice of Spokane | Hospice, Inpatient | 121 S Arthur St, Spokane, WA 99202-2253 | 2005-08-30 |
| 1285719609 | King County Public Hospital District No. 2 | Hospice, Inpatient | 12822 124th Ln Ne, Kirkland, WA 98034-7612 | 2006-10-25 |
| 1902818800 | Multicare Health Systems | Hospice, Inpatient | 3901 S Fife St, Tacoma, WA 98409-7309 | 2006-08-12 |
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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.