EVERGREEN INDEPENDANT LIVING, LLC


Address: 3805 7th St Ne Trlr 74, Great Falls, MT 59404-1152
Phone: 4062316293

EVERGREEN INDEPENDANT LIVING, LLC (NPI# 1477806388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477806388
Entity Type Organization
Organization Name EVERGREEN INDEPENDANT LIVING, LLC
Practice Address 3805 7th St Ne Trlr 74
Great Falls
MT 59404-1152
Mailing Address Po Box 249
Black Eagle
MT 59414-0249
Practice Telephone 4062316293
Enumeration Date 2012-10-17
Last Update Date 2012-10-17
Authorized Official Name JODY HANKS (OWNER/CEO)
Authorized Official Telephone 4062316293
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251C00000X Day Training, Developmentally Disabled Services Agencies

Office Location

Street Address 3805 7TH ST NE TRLR 74
City GREAT FALLS
State MT
Zip Code 59404-1152

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1629504154 Shawna Renee Applegate Nurse Practitioner 115 4th St S., Great Falls, MT 59404 2017-05-03
1093267213 Cara Firman Counselor 3300 3rd St Ne, Great Falls, MT 59404 2016-11-04
1457803900 Benjamin Huempfner Counselor 1205 1st Ave Nw, Great Falls, MT 59404 2016-11-01
1649675471 Stephen Trautman Pharmacist 1000 3rd Steet Nw, Great Falls, MT 59404 2014-10-22
1457765851 Complete Eye Care Pllc Optometrist 1012 1st Ave Nw, Great Falls, MT 59404 2014-06-13
1871923714 William Joshu Physician Assistant 25 14th Avenue N.w., Great Falls, MT 59404 2013-11-13
1679839369 Joelene Sharon (o'neill) Goodover Counselor 803 Forest Ave., Great Falls, MT 59404 2012-04-06
1942512728 Amy Jo Jamieson Counselor 600 Ave. A, Valley View School, Great Falls, MT 59404 2010-07-08
1942527890 Matthew Clayton Taecker Emergency Medicine 113 38th Ave Ne, Great Falls, MT 59404 2010-04-30
1720212897 Dana Marie Thompson Military Health Care Provider 819 Rhs/sg, 6944 Goddard Drive, Malmstrom Afb, MT 59404 2009-05-05
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Taxonomy Information

Taxonomy Code 251C00000X
Grouping Agencies
Classification Day Training, Developmentally Disabled Services

Taxonomy Definition

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1659563484 Visage of Great Falls Day Training, Developmentally Disabled Services 3805 7th St Ne Trlr 30, Great Falls, MT 59404-1149 2007-08-15
1326137381 Easterseals-goodwill Northern Rocky Mountain, Inc. Day Training, Developmentally Disabled Services 4400 Central Ave, Great Falls, MT 59405-1695 2006-10-11
1275038903 Rays of Light, LLC Day Training, Developmentally Disabled Services 160 Banjo Hill Ln, Great Falls, MT 59404-6121 2018-03-26
1699811414 Easterseals Goodwill N. Rocky Mtn Day Training, Developmentally Disabled Services 4400 Central Ave, Great Falls, MT 59405-1641 2007-01-29

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1104481100 Montana's Employment Opportunities Inc Day Training, Developmentally Disabled Services 945 4th Ave E, Kalispell, MT 59901-5444 2019-05-06
1932762481 Montana Achievement Project Day Training, Developmentally Disabled Services 300 N Willson Ave Ste 402d, Bozeman, MT 59715-3551 2019-04-19
1548730898 Brittany Curl Day Training, Developmentally Disabled Services 824 Avenue E, Billings, MT 59102-3418 2018-11-29
1568988244 Rec Montana Day Training, Developmentally Disabled Services 510 E Florence St, Missoula, MT 59801-4152 2017-08-15
1659508943 Renee's Helping Hands Day Training, Developmentally Disabled Services 708 16th Ave E, Polson, MT 59860-3815 2009-06-15
1386871879 Zeda LLC Day Training, Developmentally Disabled Services 36173 Violet Ln, Polson, MT 59860-7210 2009-06-11
1093954463 Silver Linings Day Training, Developmentally Disabled Services 2480 E Broadway St Apt 8a, Helena, MT 59601-4945 2009-02-09
1629247812 Eagle Mount - Bozeman Day Training, Developmentally Disabled Services 6901 Goldenstein Ln, Bozeman, MT 59715-8005 2008-02-21
1285835496 Ravalli Services Corporation Day Training, Developmentally Disabled Services 219 Pennsylvania Ave, Hamilton, MT 59840-2036 2007-05-29
1154544815 Spring Meadow Resources, Inc. Day Training, Developmentally Disabled Services 2850 Broadwater Ave, Helena, MT 59602-9220 2007-04-11
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Competitor

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City GREAT FALLS
Zip Code 59404

Improve Information

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Dataset Information

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.

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