Everlight Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

EVERLIGHT HOSPICE LLC

Practice address

29100 SW Town Center Loop W Ste 130
Wilsonville, OR 97070-9315

Phone

(503) 496-7000

Fax

(503) 974-2466

NPI assigned

Jan 28, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Andrew DO, MDNPI 1922495506

Title

Medical Director

Phone

(503) 496-7000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Hospice certification: CCN 381591

Legal name

EVERLIGHT HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 3, 2025

Last certification

Oct 3, 2025

Ownership / control type

Proprietary - Partnership

Organization structure

LLCProprietary

Enrollment address

29100 SW Town Center Loop W
Ste 130
Wilsonville, OR 97070-9315

Listed as

Everlight Hospice LLCCCN 381591

Certified

Oct 3, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Andrew DO, MD

  • Family Medicine Physician
  • Salem, OR
  • NPI 1922495506

  5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control

  CMS ownership
• Michael Patrick Smith, DNP, FNP-C

  • Family Nurse Practitioner
  • Salem, OR
  • NPI 1518401611

  5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control

  CMS ownership

Practitioners 2

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

• Andrew DO, MD

  • Family Medicine Physician
  • Salem, OR
  • NPI 1922495506
  NPD Authorized official
• Sara Verga, M.D.

  • Psychiatry Physician
  • Tulsa, OK
  • NPI 1013449099
  NPD

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Andrew DO, MD

  • Family Medicine Physician
  • Salem, OR
  • NPI 1922495506

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1245043884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29100 SW TOWN CENTER LOOP W STE 130",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709315",
            "telephone_number": "503-496-7000",
            "fax_number": "503-974-2466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29100 SW TOWN CENTER LOOP W STE 130",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709315",
            "telephone_number": "503-496-7000",
            "fax_number": "503-974-2466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERLIGHT HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-28",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "DO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "503-496-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tim David Esau, MSPT
• Jessica Joanne Etcheberry, LICSW
• Patrick Evangelista
• Brenda Evans, CSWA
• Evergreen Counseling and Consultation
• Laurel Plahuta Ewing, APN-CFNP
• Exiges Imaging, LLC
• Exiges Lab, LLC
• Exiges Ultrasound, LLC
• Eye Health Northwest, P.C.

• Community Based Hospice Care Agency in Wilsonville, OR
• Providers in Wilsonville, OR by specialty
• Community Based Hospice Care Agency in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.