Evergreen Home Health & Hospice Care, LLC

Primary specialty

Inpatient HospiceTaxonomy code 315D00000X

License

IHS.FS.60348177 Issued in WA

Legal business name

EVERGREEN HOME HEALTH & HOSPICE CARE, LLC

Practice address

620 SE Everett Mall Way
Suite 210
Everett, WA 98208-3278

Phone

(425) 478-8679

NPI assigned

Apr 21, 2014

Last updated

Apr 21, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Edik Saroyan

Title

Owner

Phone

(425) 478-8679

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1398038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398038400000",
    "number": "1275953903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 SE EVERETT MALL WAY",
            "address_2": "SUITE 210",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 SE EVERETT MALL WAY",
            "address_2": "SUITE 210",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982083278",
            "telephone_number": "425-478-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN HOME HEALTH & HOSPICE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-21",
        "last_updated": "2014-04-21",
        "status": "A",
        "authorized_official_last_name": "SAROYAN",
        "authorized_official_first_name": "EDIK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "425-478-8679"
    },
    "taxonomies": [
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": "WA",
            "license": "IHS.FS.60348177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Everett Transitional Care Services
• Everett Urological, PLLC. (Everett Urology)
• Everett Vision Therapy
• James Dwight Everett, MA, LMHC
• Evergreen Dental Corporation
• Evergreen Neurology & Neurodiagnostic PLLC
• Evergreen Park Professionals
• Evergreen Recovery Centers
• Evergreen Recovery Centers
• Evergreen Recovery Centers

• Inpatient Hospice in Everett, WA
• Providers in Everett, WA by specialty
• Inpatient Hospice in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.