EVERGREEN COURT (NPI# 1912127192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912127192 |
| Entity Type | Organization |
| Organization Name | EVERGREEN COURT |
| Practice Address |
900 - 124th Avenue N.e Bellevue WA 98005 |
| Mailing Address |
900-124th Avenue N.e Bellevue WA 98005 |
| Practice Telephone | 4254554333 |
| Practice Fax Number | 4256374860 |
| Mailing Telephone | 4254554333 |
| Mailing Fax Number | 4256374860 |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. KATE QUEBE (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4254554333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 1502 | WA | Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | EVERGREEN COURT | 450 O'connell St, North Bend, OR 97459 |
| Indiana Business Entities | EVERGREEN COURT APARTMENTS LLC | 6960 Orchard Lake Rd, Ste 206, West Bloomfield, MI 48322 |
| Washington State Corporations | EVERGREEN COURT DEVELOPMENT, LLC | 11018 Ne 11th St, Bellevue, WA 98004-4578 |
| New York State Corporations | EVERGREEN COURT HOLDING LLC | 1930 Veterans Hwy., Islandia, Ny 11749 |
| New York State Corporations | EVERGREEN COURT HOME FOR ADULTS SP LLC | 29 Whispering Pines Ln, Lakewood, Nj 08701 |
| Washington State Corporations | EVERGREEN COURT LAKEWOOD LLC | 300 Lenora St, Suite 246, Seattle, WA 98121 |
| Washington State Corporations | EVERGREEN COURT MANAGEMENT LLC | 15406 Meridian E Ste 200, Puyallup, WA 98375-9504 |
| Washington State Corporations | EVERGREEN COURT OCEAN PARK HOLDINGS LLC | 170 S Lincoln St Ste 150, Spokane, WA 99201-4443 |
| Washington State Corporations | EVERGREEN COURT OF MOLALLA LLC | 20015 Ne 234th Street, Battle Ground, WA 98604 |
| Oregon Corporations, Companies and Business Names | EVERGREEN COURT PROPERTY LLC | 13904 Se Powell Blvd, Portland, OR 97236 |
| Street Address |
900 - 124TH AVENUE N.E |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194161 | Move Well, Be Well Pllc | Clinic/Center | 11900 Ne 1st Street, Suite 3106, Bellevue, WA 98005 | 2020-05-06 |
| 1649899410 | Wen-fang Ku | Acupuncturist | 13555 Bel-red Rd, Suite 110, Bellevue, WA 98005 | 2020-04-13 |
| 1558901801 | Janelle Morris | Behavior Technician | 12729 Northup Way, Suite 9, Bellevue, WA 98005 | 2020-01-14 |
| 1912467234 | Amanda Gallardo | Behavior Technician | 13333 Bel Rd Suite 100, Bellevue, WA 98005 | 2019-03-22 |
| 1639637903 | Oxana I Varvaryuk | Massage Therapist | 606 120th Ave Ne, Suite D104, Bellevue, WA 98005 | 2019-03-06 |
| 1609346246 | Bhavjit Kaur Mangat | Optometrist | 1808 Richards Rd Suite 110, Bellevue, WA 98005 | 2018-11-27 |
| 1386138907 | Amanda Frances Ellis | Dietitian, Registered | 915 118th Ave Se, Attention Alecia Johnson, Ret Physica, Suite 110, Bellevue, WA 98005 | 2018-06-18 |
| 1093227654 | Jinda Chaijinda | Naturopath | 13353 Bel-red Road Suite A105, Bellevue, WA 98005 | 2017-11-03 |
| 1962927038 | Laura Jo Zuker Olsen | Optometrist | 13401 Bel-red Rd Ne, Suite A4 - Bellevue Vision Clinic, Bellevue, WA 98005 | 2017-08-09 |
| 1336678697 | Yong Huang | Massage Therapist | 12505 Bel-red Road, Suite 188, Bellevue, WA 98005 | 2017-06-08 |
| Find all providers in zip 98005 | ||||
| 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 |
|---|---|---|---|---|
| 1689158073 | Fifteenth Senior Care LLC | Assisted Living Facility | 15750 Ne 15th St, Bellevue, WA 98008-2703 | 2018-09-20 |
| 1255848461 | Richmont Terrace II, LLC | Assisted Living Facility | 620 Fort Crook Rd S, Bellevue, NE 68005-2931 | 2018-01-09 |
| 1275806838 | Heritage Ridge Operating LLC | Assisted Living Facility | 1502 Fort Crook Rd S, Bellevue, NE 68005-2972 | 2012-02-13 |
| 1548550353 | Bellevue Gardens LLC | Assisted Living Facility | 933 111th Ave Ne, Bellevue, WA 98004-4486 | 2011-04-13 |
| 1821215369 | Riverview Development Corporation | Assisted Living Facility | 308 N 12th St, Bellevue, IA 52031-1944 | 2007-04-19 |
| 1932123700 | Audrich, Inc. | Assisted Living Facility | 670 Flat Rock Rd, Bellevue, OH 44811-9486 | 2006-07-26 |
| 1467470435 | Audrich, Inc. | Assisted Living Facility | 1 Audrich Sq, Bellevue, OH 44811-9700 | 2006-07-18 |
| 1720630734 | Stone Ridge Afc | Assisted Living Facility | 4825 Fruin Rd, Bellevue, MI 49021-8209 | 2019-07-10 |
| 1932405065 | Sunrise Senior Living Maagement In | Assisted Living Facility | 15928 Ne 8th St, Bellevue, WA 98008-3908 | 2011-02-08 |
| 1508905746 | Redoak Health Services Inc | Assisted Living Facility | 1702 Hillcrest Dr, Bellevue, NE 68005-3652 | 2007-02-05 |
| Find all providers in BELLEVUE | ||||
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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.