Active NPI
Evergreen Care Solutions LLC
- Psychiatric/Mental Health Nurse Practitioner
- Gaithersburg, MD
National Provider Identifier
1114654407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- EVERGREEN CARE SOLUTIONS LLC
- Practice address
- 325 Ellington Blvd # 117
Gaithersburg, MD 20878-4591 - Phone
- (336) 254-4619
- NPI assigned
- Aug 5, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adaku Anike, NP
- Title
- President
- Phone
- (617) 379-0496
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
325 Ellington Blvd # 117
Gaithersburg, MD 20878-4591
Mailing address
325 Ellington Blvd # 117
Gaithersburg, MD 20878-4591
Phone (617) 379-0496
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
8401 Mayland Dr
#7945
Richmond, VA 23294
Phone (240) 474-0102
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": "1659657600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786406400000",
"number": "1114654407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 ELLINGTON BLVD # 117",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208784591",
"telephone_number": "617-379-0496"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "325 ELLINGTON BLVD # 117",
"city": "GAITHERSBURG",
"state": "MD",
"postal_code": "208784591",
"telephone_number": "336-254-4619"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVERGREEN CARE SOLUTIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-08-05",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A",
"authorized_official_last_name": "ANIKE",
"authorized_official_first_name": "ADAKU",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "617-379-0496",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaithersburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.