EVERGREEN HEALTH CARE (NPI# 1770091290) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770091290 |
| Entity Type | Organization |
| Organization Name | EVERGREEN HEALTH CARE |
| Practice Address |
5960 Fairview Rd Ste 400 Charlotte NC 28210-3119 |
| Mailing Address |
970 Sidney Marcus Blvd Ne Atlanta GA 30324-5613 |
| Practice Telephone | 2067080600 |
| Practice Fax Number | 2067080600 |
| Mailing Telephone | 8183263834 |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2018-01-18 |
| Authorized Official Name | LUCILLE MCCORMICK (SECRETARY) |
| Authorized Official Telephone | 7044962699 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| Street Address |
5960 FAIRVIEW RD STE 400 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28210-3119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437228517 | Janet Louise Athey | Psychologist | 5960 Fairview Rd Ste 400, Charlotte, NC 28210-3119 | 2006-11-06 |
| 1770199473 | Soso,inc. | In Home Supportive Care | 5960 Fairview Rd Ste 400, Charlotte, NC 28210-3119 | 2020-09-17 |
| 1396354353 | Vibrant Hearts Home Care LLC | In Home Supportive Care | 5960 Fairview Rd Ste 400, Charlotte, NC 28210-3119 | 2020-07-27 |
| 1598250300 | Heartwood Performance, Pllc | Social Worker | 5960 Fairview Rd Ste 400, Charlotte, NC 28210-3119 | 2018-06-25 |
| 1629219977 | Secured Care Home Health Services of Sc Inc. | In Home Supportive Care | 5960 Fairview Rd Ste 400, Charlotte, NC 28210-3119 | 2009-03-17 |
| 1407021173 | Jacqueline Q Sosa | Pediatrics | 5960 Fairview Rd Ste 400, Charlotte, NC 28210-3119 | 2008-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952920860 | Rx Care 14 LLC | Pharmacy | 7701 Sharon Lakes Road, Suite H, Charlotte, NC 28210 | 2020-04-10 |
| 1427697622 | David Durant Dinsmore | Nurse Anesthetist, Certified Registered | Atrium Health Pineville, 10628 Park Road, Charlotte, NC 28210 | 2020-01-06 |
| 1790256964 | Tele Phys Inc | Internal Medicine | 10035 Park Center Dr., Ste 100, Charlotte, NC 28210 | 2018-12-16 |
| 1104395896 | Bridgett Williams | Behavior Technician | 7806 Andover Woods Drive, Charlotte, NC 28210 | 2018-11-26 |
| 1053880518 | Low-t Physicians Professional Association | Internal Medicine | 10430 Park Road Suite 100a, Charlotte, NC 28210 | 2018-11-14 |
| 1053895102 | Carolinas Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 7701 Sharon Lakes Blvd, Ste A., Charlotte, NC 28210 | 2018-09-24 |
| 1679066658 | Afc Urgent Care and Family Care of Wnc, Pllc | Clinic/Center | 10102 Johnston Rd, Charlotte, NC 28210 | 2018-06-13 |
| 1346777018 | Hopeway Foundation | Clinic/Center | 1717 Sharon Road West, Charlotte, NC 28210 | 2017-05-12 |
| 1891154688 | Jessie Lee Ogienko | Social Worker | 5960 Fairview Rd Ste 328, Charlotte, NC 28210 | 2016-02-22 |
| 1699151985 | Carolina Complete Psychiatry, Pllc | Physician Assistant | 5950 Fairview Road, Suite 708, Charlotte, NC 28210 | 2015-08-10 |
| Find all providers in zip 28210 | ||||
| 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 |
|---|---|---|---|---|
| 1245831361 | Us Advocate Care LLC | Home Health | 1981 J N Pease Pl Ste 103, Charlotte, NC 28262-4529 | 2020-11-04 |
| 1467052688 | Vital Stability Home Care Services LLC | Home Health | 10130 Mallard Creek Rd Ste 338, Charlotte, NC 28262-6001 | 2020-10-27 |
| 1063011724 | Andreas Family Services LLC | Home Health | 9700 Research Dr Ste 135e, Charlotte, NC 28262-8577 | 2020-10-22 |
| 1649882473 | Ashers Enterprises | Home Health | 7010 Sycamore Grove Ct, Charlotte, NC 28227-3017 | 2020-08-21 |
| 1952926768 | American Patriot Services LLC | Home Health | 3557 N Sharon Amity Rd Ste 202, Charlotte, NC 28205-8936 | 2020-06-08 |
| 1831713593 | Ummah Care LLC | Home Health | 537 W Sugar Creek Rd Ste 202, Charlotte, NC 28213-6102 | 2020-05-28 |
| 1962022889 | Essential Healthcare & Supplies Inc | Home Health | 3557 N Sharon Amity Rd Ste 100-102, Charlotte, NC 28205-8849 | 2020-04-21 |
| 1275161580 | Londyn Homecare Agency L.l.c | Home Health | 1914j.n. Place, Charlotte, NC 28262 | 2020-03-31 |
| 1154953495 | Loving Hearts Home Care One,l.l.c. | Home Health | 2925 E Independence Blvd Ste 224, Charlotte, NC 28205-7034 | 2020-02-05 |
| 1225669682 | Dequincy Cornish | Home Health | 7506 E Independence Blvd Ste 112, Charlotte, NC 28227-9456 | 2020-02-03 |
| Find all providers in CHARLOTTE | ||||
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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.