EVERGREEN HOSPICE, LLC (NPI# 1356742340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356742340 |
| Entity Type | Organization |
| Organization Name | EVERGREEN HOSPICE, LLC |
| Practice Address |
6510 Town Center Dr Suite F Clarkston MI 48346-4822 |
| Practice Telephone | 2486208890 |
| Mailing Telephone | 2486208890 |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |
| Authorized Official Name | MRS. JANIS KELTERBORN (ADMINISTRATOR) |
| Authorized Official Telephone | 2486208890 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Street Address |
6510 TOWN CENTER DR SUITE F |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48346-4822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639241219 | Evergreen Health Services, Inc. | Home Health | 6510 Town Center Dr, Suite# B, Clarkston, MI 48346-4822 | 2006-11-15 |
| 1134726144 | Marisa M Daigle | Behavior Technician | 6510 Town Center Dr, Clarkston, MI 48346-4822 | 2020-10-02 |
| 1346885068 | Taylor Monae' Bowles | Behavior Technician | 6510 Town Center Dr, Clarkston, MI 48346-4822 | 2019-11-18 |
| 1639712052 | Ashley Dieckmann | Behavior Technician | 6510 Town Center Dr, Clarkston, MI 48346-4822 | 2019-10-18 |
| 1629631502 | Bryaunte Safiyyah Little | Behavior Technician | 6510 Town Center Dr, Clarkston, MI 48346-4822 | 2019-04-17 |
| 1932667714 | Angela Meador | Behavior Technician | 6510 Town Center Dr, Clarkston, MI 48346-4822 | 2019-03-11 |
| 1033682281 | Amanda Magnan | Behavior Technician | 6510 Town Center Dr, Clarkston, MI 48346-4822 | 2019-01-09 |
| 1558833442 | Mckenna Goodale | Behavior Technician | 6510 Town Center Dr, Clarkston, MI 48346-4822 | 2018-12-18 |
| 1609342286 | Jacob Gora | Behavior Technician | 6510 Town Center Dr, Clarkston, MI 48346-4822 | 2018-10-22 |
| 1184048761 | Birchwood Meadows, LLC | Foster Care Agency | 6510 Town Center Dr, Suite B, Clarkston, MI 48346-4822 | 2014-02-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497399745 | Therapy Services of Clarkston LLC | Clinic/Center | 6770 Dixie Highway, Suite 103, Clarkston, MI 48346 | 2019-10-30 |
| 1679041545 | Shiba Lashon Nixon | Registered Nurse | New Oakland, 6549 Town Center Suite A, Clarkston, MI 48346 | 2018-11-08 |
| 1972079655 | Stephanie Gaumer | Social Worker | 6825 Dixie Hwy Ste E, Clarkston, MI 48346 | 2018-10-19 |
| 1912496324 | Regency At Independence Township, LLC | Skilled Nursing Facility | 6211 Stonewood Drive, Clarkston, MI 48346 | 2018-05-02 |
| 1558880591 | 3rd Circle Inc. | Home Health Aide | 39 South Main Street, Ste 2, Clarkston, MI 48346 | 2017-09-11 |
| 1376083246 | Rosemarie Villarreal | Social Worker | 4480 Elmdale Ave, Clarkston, MI 48346 | 2017-02-27 |
| 1932566940 | Syncere Hearts Home Healthcare, LLC | Home Health | 5836 North Marshbank Lane Apt203, Clarkston, MI 48346 | 2016-01-21 |
| 1649635087 | Coddaire & Associates, Inc. | Community/Behavioral Health | 6445 Citation Drive, Suite H, Clarkston, MI 48346 | 2015-12-30 |
| 1013386358 | Victoria Urikh-garcia | Technician, Other | 6510 Town Center Dr Ste E, Clarkston, MI 48346 | 2015-09-16 |
| 1194090993 | Stefanie Pavloski | Counselor | 5701 Bow Pointe Dr., Ste. #380, Clarkston, MI 48346 | 2012-03-13 |
| Find all providers in zip 48346 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255672895 | Alpowa Healthcare, Inc. | Hospice Care, Community Based | 1370 Bridge Street, Clarkston, WA 99403 | 2013-03-06 |
| 1831100254 | Tri-state Memorial Hospital | Hospice Care, Community Based | 1100 Highland Avenue, Clarkston, WA 99403 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487550 | Hope Hospice and Palliative Care LLC | Hospice Care, Community Based | 27680 Franklin Rd, Southfield, MI 48034-8203 | 2020-11-06 |
| 1356958649 | Serenity Hospice Care LLC | Hospice Care, Community Based | 33620 Five Mile Rd, Livonia, MI 48154-2866 | 2020-09-30 |
| 1467067983 | Asr Hospice Care, LLC | Hospice Care, Community Based | 1509 S State Rd Ste B, Davison, MI 48423-1966 | 2020-09-11 |
| 1578176038 | Intelicare Hospice Services IIi, LLC | Hospice Care, Community Based | 6060 Torrey Rd Ste J, Flint, MI 48507-5963 | 2020-08-25 |
| 1851909741 | Trillium House, Inc. | Hospice Care, Community Based | 1144 Northland Dr, Marquette, MI 49855-4408 | 2020-07-17 |
| 1568086056 | John Paul Home Hospice LLC | Hospice Care, Community Based | 30800 Telegraph Rd Ste 3700, Bingham Farms, MI 48025-4583 | 2020-06-01 |
| 1992331128 | Careline Health Group - Mi LLC | Hospice Care, Community Based | 113 W Michigan Ave Ste 1024th, Jackson, MI 49201-1340 | 2020-03-19 |
| 1659906220 | Optimal Care, Inc. | Hospice Care, Community Based | 30600 Telegraph Rd Ste 3275, Bingham Farms, MI 48025-5718 | 2020-03-04 |
| 1881234862 | Hope Hospice LLC | Hospice Care, Community Based | 26645 W 12 Mile Rd Ste 211, Southfield, MI 48034-7812 | 2020-01-08 |
| 1124665088 | Hospice of Compassion, Inc | Hospice Care, Community Based | 23300 Greenfield Rd Ste 206, Oak Park, MI 48237-8409 | 2019-12-10 |
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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.