EVERGREEN BEHAVIORAL MANAGEMENT, INC. (NPI# 1457651309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457651309 |
| Entity Type | Organization |
| Organization Name | EVERGREEN BEHAVIORAL MANAGEMENT, INC. |
| Other Organization Name | CARDINAL HOUSE |
| Practice Address |
46 S Cardinal Dr Wilmington NC 28403-1843 |
| Mailing Address |
1409 Pinckney St Whiteville NC 28472-2220 |
| Practice Telephone | 9106410600 |
| Practice Fax Number | 9106410606 |
| Mailing Telephone | 9106410600 |
| Mailing Fax Number | 9106410606 |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |
| Authorized Official Name | MS. GINGER G. GORE (CEO/OWNER) |
| Authorized Official Telephone | 9106410600 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Cardinal House | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174823413 | Evergreen Behavioral Management, Inc. | Assisted Living Facility | 5794 Old Us Highway 74, Chadbourn, NC 28431-6779 | 2010-11-02 |
| 1679712277 | Evergreen Behavioral Management, Inc. | Community/Behavioral Health | 4276 Legend Ave Ste C, Fayetteville, NC 28303-3497 | 2009-02-05 |
| 1588816789 | Evergreen Behavioral Management, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 5794 Old Highway 74, Chadbourn, NC 28431-6779 | 2008-10-21 |
| 1538311972 | Evergreen Behavioral Management, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1686 Sam Potts Hwy, Hallsboro, NC 28442-9458 | 2008-10-16 |
| 1508167735 | Evergreen Behavioral Management, Inc. | Assisted Living Facility | 1686 Sam Potts Hwy, Hallsboro, NC 28442-9458 | 2010-11-04 |
| 1669780300 | Evergreen Behavioral Management, Inc. | Clinic/Center | 1409 Pinckney St, Whiteville, NC 28472-2220 | 2010-09-15 |
| 1609189745 | Evergreen Behavioral Management, Inc. | Technician | 416 Fairley St, Laurinburg, NC 28352-3612 | 2010-07-19 |
| 1225277353 | Evergreen Behavioral Management, Inc. | Community/Behavioral Health | 1409 Pinckney St, Whiteville, NC 28472-2220 | 2009-02-12 |
| 1497994099 | Evergreen Behavioral Management, Inc. | Community/Behavioral Health | 1911 S 17th St, Suite 100, Wilmington, NC 28401-6662 | 2009-02-05 |
| 1528206174 | Evergreen Behavioral Management, Inc. | Community/Behavioral Health | 416 Fairley St, Laurinburg, NC 28352-3612 | 2009-02-04 |
| Street Address |
46 S CARDINAL DR |
| City | WILMINGTON |
| State | NC |
| Zip Code | 28403-1843 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902413875 | Ymca of Southeastern Nc | Health Educator | 2710 Market Street, Wilmington, NC 28403 | 2020-09-25 |
| 1659917334 | Noa Alper | Occupational Therapist | 5412 Old Garden Road, Wilmington, NC 28403 | 2019-11-18 |
| 1992346340 | Nancy Rosita Carson | Technician | 5608 Locke Str. Apt 108, Wilmington, NC 28403 | 2019-10-07 |
| 1912484585 | Jennifer Nicole Perry | Behavior Technician | 349 Campus Cv, Wilmington, NC 28403 | 2018-07-25 |
| 1386159929 | Monumental Foundations LLC | Clinic/Center | Plum Tree Plaza 925 South Kerr Ave Suite F4, Wilmington, NC 28403 | 2017-12-05 |
| 1114445731 | Jacqulyn Craichy | Speech-Language Pathologist | 75 Cavalier Drive, Wilmington, NC 28403 | 2017-09-04 |
| 1730638545 | Ashley Mcneil | Durable Medical Equipment & Medical Supplies | 3435 Wilshire Blvd Apt 203, Wilmington, NC 28403 | 2016-09-22 |
| 1306204276 | Valerie Pringle Jones | Physical Therapist | 1717 Shipyard Blvd. Ste 350, Wilmington, NC 28403 | 2016-02-05 |
| 1689039992 | Lifeline Treatment Center | Clinic/Center | 5710 Oleander Dr Ste 100, Wilmington, NC 28403 | 2015-12-31 |
| 1750758264 | Melissa Beatson | Speech-Language Pathologist | 4014 Oleander Drive, Ste. 3b, Coastal Speech & Language Pllc, Wilmington, NC 28403 | 2015-09-01 |
| Find all providers in zip 28403 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073160156 | Snh Del Tenant LLC | Assisted Living Facility | 1912 Marsh Road, Wilmington, DE 19810-3900 | 2019-08-22 |
| 1619445483 | Harborchase of Wilmington, LLC | Assisted Living Facility | 2004 Shipley Rd, Wilmington, DE 19803-5248 | 2018-11-09 |
| 1316370208 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 3501 Converse Dr, Wilmington, NC 28403-6179 | 2013-08-14 |
| 1437426624 | Weatherly B Landry | Assisted Living Facility | 2029 Burnett Blvd, Wilmington, NC 28401-6939 | 2011-11-16 |
| 1972889715 | New Hanover House, LLC | Assisted Living Facility | 3915 Stedwick Court, Wilmington, NC 28412 | 2011-10-25 |
| 1780831586 | Arden Courts of Wilmington De LLC | Assisted Living Facility | 700 1/2 Foulk Rd, Wilmington, DE 19803-3708 | 2008-08-22 |
| 1770743510 | Lutheran Senior Services | Assisted Living Facility | 1420 N Franklin St, Wilmington, DE 19806-3178 | 2008-06-16 |
| 1285801233 | Ohio Living Communities | Assisted Living Facility | 175 Cape May Dr, Wilmington, OH 45177-2065 | 2008-05-09 |
| 1902020399 | Sunrise Assisted Living of Wilmington | Assisted Living Facility | 2215 Shipley Rd, Wilmington, DE 19803-2305 | 2007-04-13 |
| 1578683793 | Judge Family Care | Assisted Living Facility | 400 Judges Rd, Wilmington, NC 28405-3612 | 2007-03-30 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 28403 |
Please comment or provide details below to improve the information on EVERGREEN BEHAVIORAL MANAGEMENT, INC..
| 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.