Evergreen Homecare Services

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EVERGREEN HOMECARE SERVICES

Practice address

513 Waterview Dr
Coppell, TX 75019-6617

Phone

(917) 968-2655

NPI assigned

Sep 14, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Jisook Kim

Title

Prossessor

Phone

(917) 968-2655

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1568419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568419200000",
    "number": "1083264709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 WATERVIEW DR",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750196617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 WATERVIEW DR",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750196617",
            "telephone_number": "917-968-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN HOMECARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-14",
        "last_updated": "2019-09-14",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "JISOOK",
        "authorized_official_title_or_position": "PROSSESSOR",
        "authorized_official_telephone_number": "917-968-2655",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carmen Denise Escobar
• Sage Ann Espitia, M.S., LMHC, LPC
• Devon Estes, LPC
• Robin Nicole Evans, RBT
• Evergreen Dental P a
• Expecare, LP
• Eye Specialists and Laser Center of Texas
• Carmina Maria Fajardo, RDH
• Joshua D Falk, PHARM.D.
• Mary Faller, M.A., L.P.C.

• In Home Supportive Care Agency in Coppell, TX
• Providers in Coppell, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2019; 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.