EVERGREEN GARDENS ASSISTED LIVING (NPI# 1700491560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700491560 |
| Entity Type | Organization |
| Organization Name | EVERGREEN GARDENS ASSISTED LIVING |
| Practice Address |
10120 Stansfield Rd Laurel MD 20723-1738 |
| Practice Telephone | 2404552087 |
| Practice Fax Number | 8666104342 |
| Mailing Telephone | 2404552087 |
| Mailing Fax Number | 8666104342 |
| Enumeration Date | 2020-09-09 |
| Last Update Date | 2020-09-09 |
| Authorized Official Name | SANDRA RINEHART (OWNER) |
| Authorized Official Telephone | 2404552087 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
10120 STANSFIELD RD |
| City | LAUREL |
| State | MD |
| Zip Code | 20723-1738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922504711 | Silvern Mbayie Fon | Home Health Aide | 10026 Gorman Road, Laurel, MD 20723 | 2018-04-02 |
| 1629506241 | True Motivation Works LLC | Supports Brokerage | 9185 Bourbon Street, Suite N, Laurel, MD 20723 | 2017-05-26 |
| 1124479647 | Ghata D Patel | Dentist | 9072 Manorwood Rd, Laurel, MD 20723 | 2016-06-27 |
| 1053708867 | Deja Rochelle Robinson | Student in an Organized Health Care Education/Training Program | 8642 Eastern Morning Run, Laurel, MD 20723 | 2015-04-20 |
| 1841680766 | First Call Medical Center LLC | Clinic/Center | 10981 Johns Hopkins Road, Laurel, MD 20723 | 2015-01-30 |
| 1376959346 | Martha Woldemichael | Pharmacist | 8410 Lily Lane, Laurel, MD 20723 | 2014-07-10 |
| 1164859906 | Marnie M Cato | Speech-Language Pathologist | 8510 Upper Sky Way, Laurel, MD 20723 | 2013-10-10 |
| 1063777977 | Sebastian Mbariku | Home Health Aide | 9792 Mountain Laurel Way #1b, Laurel, MD 20723 | 2012-07-06 |
| 1225307663 | Sophia Lamini Shabani | Home Health Aide | 9625 Hadley Court, Laurel, MD 20723 | 2011-12-14 |
| 1982998209 | Sarah Zaheer | Family Medicine | Centennial Medical Group, 10981 Johns Hopkins Road, Laurel, MD 20723 | 2011-06-03 |
| Find all providers in zip 20723 | ||||
| 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 |
|---|---|---|---|---|
| 1639675440 | Robert H Pell | Assisted Living Facility | 11607 Admiral Ct, Laurel, MD 20708-3508 | 2018-04-02 |
| 1346582830 | Rapid Travel and Delivery LLC | Assisted Living Facility | 8942 Cherry Ln, Laurel, MD 20708-1119 | 2013-03-22 |
| 1609164912 | Therapyworks | Assisted Living Facility | 5 Brianleigh Dr, Laurel, MS 39443-5798 | 2011-07-20 |
| 1467789271 | Goodneighbours Health Care Centre | Assisted Living Facility | 15812 Bradford Dr, Laurel, MD 20707-3263 | 2009-11-16 |
| 1255574927 | Dannewyl of Laurel, LLC | Assisted Living Facility | 11504 Basswood Ct, Laurel, MD 20708-3172 | 2009-04-10 |
| 1528203700 | The Crossings | Assisted Living Facility | 600 Roundhouse Dr, Laurel, MT 59044-2472 | 2008-12-02 |
| 1609907872 | Adol Assisted Living | Assisted Living Facility | 11209 Basswood Ter, Laurel, MD 20708-3173 | 2007-03-08 |
| 1356776884 | Crcare Group | Assisted Living Facility | 6103 Parkway Dr, Laurel, MD 20707-2630 | 2013-09-03 |
| 1083989180 | Morningside House of Laurel,llc | Assisted Living Facility | 7700 Cherry Ln, Laurel, MD 20707-3603 | 2012-03-21 |
| 1316217367 | Magnolia Gardens Assisted Living, Inc | Assisted Living Facility | 945 West Dr, Laurel, MS 39440-4703 | 2012-01-09 |
| Find all providers in LAUREL | ||||
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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.