Evergreen Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EVERGREEN HOME CARE LLC

Practice address

7 Progress St Ste 101a
Edison, NJ 08820-1102

Phone

(864) 340-0442

NPI assigned

Oct 21, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kuldeep Bhatt, MHA, BSN, RNNPI 1982579058

Title

Director of Nursing/ Owner

Phone

(864) 340-0442

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kuldeep Bhatt, APRN

  • Family Nurse Practitioner
  • Columbia, SC
  • NPI 1982579058
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666310400000",
    "number": "1053038943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 PRINCETON RD",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088543033",
            "telephone_number": "864-340-0442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PROGRESS ST STE 101A",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201102",
            "telephone_number": "864-340-0442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-21",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "BHATT",
        "authorized_official_first_name": "KULDEEP",
        "authorized_official_title_or_position": "DIRECTOR OF NURSING/ OWNER",
        "authorized_official_telephone_number": "864-340-0442",
        "authorized_official_credential": "MHA, BSN, RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Edison, NJ
• Providers in Edison, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.