EVERGREEN HEALTH SERVICES, INC. (NPI# 1639241219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639241219 |
| Entity Type | Organization |
| Organization Name | EVERGREEN HEALTH SERVICES, INC. |
| Other Organization Name | BEACH HOME HEALTH CARE, INC. |
| Practice Address |
6510 Town Center Dr Suite# B Clarkston MI 48346-4822 |
| Practice Telephone | 2486258860 |
| Practice Fax Number | 2486258858 |
| Mailing Telephone | 2486258860 |
| Mailing Fax Number | 2486258858 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2008-07-01 |
| Authorized Official Name | JANIS E KELTERBORN (PRESIDENT) |
| Authorized Official Telephone | 2486258860 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Other Name | Type Code |
|---|---|
| Beach Home Health Care, Inc. | Former Legal Business Name - Organization |
| Street Address |
6510 TOWN CENTER DR SUITE# B |
| City | CLARKSTON |
| State | MI |
| Zip Code | 48346-4822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1356742340 | Evergreen Hospice, LLC | Hospice Care, Community Based | 6510 Town Center Dr, Suite F, Clarkston, MI 48346-4822 | 2014-09-09 |
| 1184048761 | Birchwood Meadows, LLC | Foster Care Agency | 6510 Town Center Dr, Suite B, Clarkston, MI 48346-4822 | 2014-02-18 |
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| 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 | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033726401 | Maitland Healthcare Services LLC | Home Health | 6060 Dixie Hwy Ste A, Clarkston, MI 48346-3476 | 2020-09-29 |
| 1790134393 | Anna's Angels | Home Health | 3702 Pinoak St, Clarkston, MI 48348-1379 | 2016-06-06 |
| 1932566940 | Syncere Hearts Home Healthcare, LLC | Home Health | 5836 North Marshbank Lane Apt203, Clarkston, MI 48346 | 2016-01-21 |
| 1164837274 | Akosua Lynique Yeboah | Home Health | 1048 Noble Vines Dr Apt 4, Clarkston, GA 30021-1326 | 2014-06-26 |
| 1205066115 | Quality One Home Healthcare, LLC | Home Health | 3942 Memorial College Ave, Apt 7, Clarkston, GA 30021-2451 | 2009-07-27 |
| 1487804209 | Tender Loving Care Health Care Services of Michigan, L.L.C. | Home Health | 7457 M E Cad Blvd, Suite 200, Clarkston, MI 48348-4282 | 2008-09-29 |
| 1760631329 | Ideal Home Health Services LLC | Home Health | 6751 Dixie Hwy Ste 202, Clarkston, MI 48346-2080 | 2008-09-18 |
| 1366611642 | Linco Healthcare System LLC | Home Health | 2802 The Oaks, Clarkston, GA 30021-1233 | 2008-02-21 |
| 1598867897 | Unicare Home Health, Inc | Home Health | 6060 Dixie Hwy, Suite G, Clarkston, MI 48346-3476 | 2006-09-05 |
| 1326006370 | A-1 International Homecare, Inc. | Home Health | 7150 Dixie Hwy Ste 4a, Clarkston, MI 48346-2068 | 2006-05-01 |
| Find all providers in CLARKSTON | ||||
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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.