Organization Active NPI

Evergreen Home Care LLC

  • Home Health Agency
  • Troy, MI
National Provider Identifier
1104946508
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EVERGREEN HOME CARE LLC
Practice address
1663 Stephenson Hwy
Suite 200
Troy, MI 48083-2169
Phone
(248) 291-5806
Fax
(248) 291-6847
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Authorized official

Name
Mrs. Purvi Shah, PTNPI 1013159185
Title
Owner
Phone
(248) 291-5806

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1663 Stephenson Hwy
Suite 200
Troy, MI 48083-2169

Mailing address

1663 Stephenson Hwy
Suite 200
Troy, MI 48083-2169
Phone (248) 291-5806

National Provider Directory

National Provider Directory

Locations

2545 Spring Arbor Rd
Jackson, MI 49203
Phone (517) 750-3644

1401 W Girard Ave
Madison Heights, MI 48071
Phone (248) 291-5806

7851 Spring Arbor Rd
Unit 10
Spring Arbor, MI 49283
Phone (517) 750-3644

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1104946508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1663 STEPHENSON HWY",
            "address_2": "SUITE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832169",
            "telephone_number": "248-291-5806",
            "fax_number": "248-291-6847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1663 STEPHENSON HWY",
            "address_2": "SUITE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480832169",
            "telephone_number": "248-291-5806",
            "fax_number": "248-291-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "PURVI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-291-5806",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.