EVERGREEN PRIVATE CARE OF FLORIDA LLC (NPI# 1669937942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669937942 |
| Entity Type | Organization |
| Organization Name | EVERGREEN PRIVATE CARE OF FLORIDA LLC |
| Practice Address |
7301 Sw Gaines Ave Stuart FL 34997-7332 |
| Mailing Address |
Po Box 1187 Hobe Sound FL 33475-1187 |
| Practice Telephone | 2813201856 |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-01-31 |
| Authorized Official Name | KEREN WHEELER (CEO) |
| Authorized Official Telephone | 7728886962 |
| Is Organization Subpart | Y |
| Parent Organization Name | KWJ ASSOCIATES, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
7301 SW GAINES AVE |
| City | STUART |
| State | FL |
| Zip Code | 34997-7332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043729627 | Jodi Morris Jaroschak | Massage Therapist | 7301 Sw Gaines Ave, Stuart, FL 34997-7332 | 2017-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437765955 | Mari Glover | Behavior Technician | 4574 S.e. Dixie Hwy., Stuart, FL 34997 | 2020-09-21 |
| 1942812649 | Homeward Bound Medical Supplies, LLC | Durable Medical Equipment & Medical Supplies | 3836 Old Dixie Hwy, Stuart, FL 34997 | 2020-08-24 |
| 1790320943 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 5610 Se Grouper Ave, Stuart, FL 34997 | 2019-11-12 |
| 1083108567 | Rachel Providence Bosco | Nutritionist | 4729 Se Glenridge Trail, Stuart, FL 34997 | 2018-06-19 |
| 1801303896 | Cecilia Wanja Woller | Technician | 4575 Se Dixie Highway, Stuart, FL 34997 | 2017-12-29 |
| 1164941506 | Yvonne Mann | Technician, Other | 4574 Se Dixie Highway, Stuart, FL 34997 | 2017-09-18 |
| 1235653239 | Leticia Danielle Resendiz-moreno | Technician, Other | 4574 S.e Dixie Highway, Stuart, FL 34997 | 2017-08-01 |
| 1538680889 | Jessica Rose Geary | Behavior Technician | 4574 Old Dixie Hwy, Stuart, FL 34997 | 2017-06-27 |
| 1366972267 | Alexandra Melendez | Technician, Other | 4575 S.e. Dixie Hwy, Stuart, FL 34997 | 2017-06-14 |
| 1750813135 | Mauzie Mimose Adelson | Assistant Behavior Analyst | 4574 S.e. Dixie Hwy, Treasure Coast, Stuart, FL 34997 | 2017-04-03 |
| Find all providers in zip 34997 | ||||
| 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 |
|---|---|---|---|---|
| 1760013189 | Churchill Services LLC | Home Health | 210 Sw Ocean Blvd, Stuart, FL 34994-2944 | 2020-02-04 |
| 1760867477 | Superior Care Home Health Agency LLC | Home Health | 1320 Se Federal Hwy, Suite 202, Stuart, FL 34994-3407 | 2015-07-23 |
| 1497150452 | At Your Service Home Care LLC | Home Health | 413 S Division St, Stuart, IA 50250-2072 | 2014-11-01 |
| 1679901185 | Shc Home Health Services - Jensen Beach, LLC | Home Health | 759 Sw Federal Hwy Ste 309, Royal Palm Financial Center Bldg 3, Stuart, FL 34994-2923 | 2013-10-18 |
| 1619213493 | Talgood Enterprises II, LLC | Home Health | 1111 Se Federal Hwy Ste 327, Stuart, FL 34994-3839 | 2012-12-23 |
| 1710246780 | Saving Lives Home Health Agency, Inc. | Home Health | 10 Se Central Pkwy Ste 150, Stuart, FL 34994-5917 | 2012-05-11 |
| 1124252184 | Eraj Holdings, LLC | Home Health | 797 Woodland Dr Ste 103, Stuart, VA 24171-5132 | 2009-05-06 |
| 1174765408 | First Quality Nursing LLC | Home Health | 105 Landmark Drive, Stuart, VA 24171 | 2009-04-01 |
| 1700049970 | Shirley's Personal Care Services, Inc. | Home Health | 1045 Se Ocean Blvd Ste 5, Stuart, FL 34996-2538 | 2008-07-08 |
| 1376712943 | K&d Home Health Care Corp | Home Health | 2440 Se Federal Highway, Suite 109, Stuart, FL 34994 | 2008-02-27 |
| Find all providers in STUART | ||||
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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.