NPIMap

Organization Active NPI

Evergreen Palm Primary Home Care Services

  • Home Health Agency
  • Marlborough, MA
National Provider Identifier
1144026725
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EVERGREEN PALM PRIMARY HOME CARE SERVICES
Practice address
11 Apex Dr Ste 300a
Marlborough, MA 01752-1977
Phone
(857) 233-8073
NPI assigned
Feb 24, 2025
Last updated
Feb 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Authorized official

Name
Elisha JonesNPI 1144088527
Title
Ceo
Phone
(857) 233-8073

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

11 Apex Dr Ste 300a
Marlborough, MA 01752-1977

Mailing address

11 Apex Dr Ste 300a
Marlborough, MA 01752
Phone (857) 233-8073

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1740355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1144026725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 APEX DR STE 300A",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "01752",
            "telephone_number": "857-233-8073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 APEX DR STE 300A",
            "city": "MARLBOROUGH",
            "state": "MA",
            "postal_code": "017521977",
            "telephone_number": "857-233-8073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN PALM PRIMARY HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-18",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ELISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "857-233-8073"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.