Evergreen Nursing Health, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EVERGREEN NURSING HEALTH, LLC

Practice address

7440 Heritage Village PLZ Ste 102
Gainesville, VA 20155-3081

Phone

(703) 268-0227

NPI assigned

Aug 3, 2023

Organization subpart

No

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

Authorized official

Name

Diana NelsenNPI 1497604565

Title

Owner/President

Phone

(703) 338-9970

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Diana Nelsen, RN BSN

  • Home Health Agency
  • Gainesville, VA
  • NPI 1497604565
  NPD Authorized official

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1326720806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7440 HERITAGE VILLAGE PLZ STE 102",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553081",
            "telephone_number": "703-268-0227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7440 HERITAGE VILLAGE PLZ STE 102",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201553081",
            "telephone_number": "703-268-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN NURSING HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "NELSEN",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "703-338-9970"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Espinoza
• Essence of Care LLC
• Carissa Essex, DPT
• Mary Ellen Everett, LCSW
• Evergreen Clinic, PLLC
• Fairfax Family Practice Centers PC
• Fairy Therapetuic PLLC
• Neda Farahmand, OD
• Letetia M. Fender
• Richard Fercovic

• In Home Supportive Care Agency in Gainesville, VA
• Providers in Gainesville, VA by specialty
• In Home Supportive Care Agency in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.