NPIMap

Organization Active NPI

Evergreen Healthcare Services, Inc.

  • Non-emergency Medical Transport (VAN)
  • Niles, OH
National Provider Identifier
1285219782
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
EVERGREEN HEALTHCARE SERVICES, INC.
Practice address
609 Vienna Ave
Niles, OH 44446-2639
Phone
(330) 652-3355
NPI assigned
Mar 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Authorized official

Name
Deborah N. Bailey
Title
President
Phone
(330) 652-3355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

609 Vienna Ave
Niles, OH 44446-2639

Mailing address

PO Box 221
Niles, OH 44446-0221
Phone (330) 652-3355

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL dbailey@ehcsinc.com

National Provider Directory

National Provider Directory
Tax ID family
Evergreen Healthcare Services Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1285219782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 221",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444460221",
            "telephone_number": "330-652-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 VIENNA AVE",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444462639",
            "telephone_number": "330-652-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-16",
        "certification_date": "2021-02-23",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-652-3355"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dbailey@ehcsinc.com",
            "affiliation": "N",
            "address_1": "609 Vienna Ave",
            "city": "Niles",
            "state": "OH",
            "country_code": "US",
            "postal_code": "444462639",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Niles, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; 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.