THE EVERGREENS (NPI# 1356547699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356547699 |
| Entity Type | Organization |
| Organization Name | THE EVERGREENS |
| Practice Address |
905 Sw Oldham Pkwy Lees Summit MO 64081-2609 |
| Mailing Address |
5013 Osage Ave Kansas City MO 64133-2654 |
| Practice Telephone | 8162467007 |
| Practice Fax Number | 8162467006 |
| Mailing Telephone | 8167851616 |
| Mailing Fax Number | 8162467006 |
| Enumeration Date | 2007-06-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. CHRISTOPHER JAMES CAMPOS (CO-OWNER) |
| Authorized Official Telephone | 8163926560 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | 681 | MO | Respite Care Facility |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457820847 | The Evergreens | Internal Medicine | 309 Bridgeboro Road, Moorestown, NJ 08057 | 2018-11-15 |
| 1205902756 | The Evergreens | Skilled Nursing Facility | 309 Bridgeboro Rd, Moorestown, NJ 08057-1499 | 2006-11-27 |
| Street Address |
905 SW OLDHAM PKWY |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64081-2609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114525672 | Julie Jackson | Pharmacist | 310 Nw Ward Rd, Lees Summit, MO 64081 | 2020-10-15 |
| 1932683836 | Rene Russell | Nurse Practitioner | 2416 Sw Wintergreen Ct, Lees Summit, MO 64081 | 2018-09-18 |
| 1720565179 | Yvonne Nuffer | Counselor | 304 Sw Persels Rd, Lees Summit, MO 64081 | 2018-07-27 |
| 1356845192 | Humble Hearts Counseling Services LLC | Clinic/Center | 1448 Sw Highland Drive, Lees Summit, MO 64081 | 2018-03-19 |
| 1679963649 | Molly Thompson | Occupational Therapy Assistant | 600 Sw Pryor, Lees Summit, MO 64081 | 2015-01-29 |
| 1639584790 | Kathryn Kincaide | Nurse Practitioner | 506 Nw Murray Road, Lee's Summit, MO 64081 | 2014-06-27 |
| 1154660678 | Jay Hatfield Mobility LLC | Durable Medical Equipment & Medical Supplies | 1115 Sw Oldham Parkway, Lee's Summit, MO 64081 | 2013-02-04 |
| 1285995688 | Catherine Anne Harris | Developmental Therapist | 226 Se Douglas, Suite 205, Lee's Summit, MO 64081 | 2012-06-01 |
| 1205113230 | Heartland Podiatry, P.C. | Podiatrist | 1161 Se Oldham Parkway, Lees Summit, MO 64081 | 2011-11-04 |
| 1740564723 | Melvin Turner Jr. | Pharmacist | 2501 Winteroak Cir, Kansas City, MO 64081 | 2011-10-07 |
| Find all providers in zip 64081 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989457 | Abudant Living Healthcare, LLC | Respite Care | 3151 Park Place Dr, Cape Girardeau, MO 63703-6378 | 2020-07-17 |
| 1679137954 | Stokes Angels LLC | Respite Care | 2929 S Grand Ave, Carthage, MO 64836-7803 | 2019-04-23 |
| 1821540212 | Diversified Support Services, LLC | Respite Care | 3910 Kingsland Ct, # 2f, Saint Louis, MO 63116-4432 | 2016-11-01 |
| 1811351620 | Compassion Care Angels | Respite Care | 9632 Jacobi Ave Apt 4, Saint Louis, MO 63136-2938 | 2016-04-07 |
| 1881055812 | Gracie Lane Day Hab, LLC | Respite Care | Rr 81 Box 175, Koshkonong, MO 65692-8004 | 2016-03-18 |
| 1922386689 | Passages Hospice of Missouri, LLC | Respite Care | 1120 S 6th St, Suite 500, Saint Louis, MO 63104-3602 | 2011-07-29 |
| 1023323904 | Anita Rucker-burns | Respite Care | 9323 E 83rd St, Raytown, MO 64138-2044 | 2010-08-16 |
| 1417273210 | Tina Marie Macklin | Respite Care | 7466 Hazel Ave, Maplewood, MO 63143-3028 | 2010-04-19 |
| 1194953968 | Tr Adult Care and Recreation Center/in Home Service | Respite Care | 1628 N 14th St, Saint Louis, MO 63106-4107 | 2009-06-30 |
| 1811124803 | Tender Hands Adult Health Daycare | Respite Care | 6500 Dunn Rd, Desloge, MO 63601-1539 | 2009-06-17 |
| Find all providers with the same taxonomy | ||||
| City | LEES SUMMIT |
| Zip Code | 64081 |
Please comment or provide details below to improve the information on THE EVERGREENS.
| 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.