The Evergreens

Primary specialty

Respite CareTaxonomy code 385H00000X

License

681 Issued in MO

Legal business name

THE EVERGREENS

Practice address

905 SW Oldham Pkwy
Lees Summit, MO 64081-2609

Phone

(816) 246-7007

Fax

(816) 246-7006

NPI assigned

Jun 25, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Christopher James Campos

Title

Co-Owner

Phone

(816) 392-6560

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356547699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5013 OSAGE AVE",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641332654",
            "telephone_number": "816-785-1616",
            "fax_number": "816-246-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "905 SW OLDHAM PKWY",
            "city": "LEES SUMMIT",
            "state": "MO",
            "postal_code": "640812609",
            "telephone_number": "816-246-7007",
            "fax_number": "816-246-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EVERGREENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAMPOS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "816-392-6560",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "MO",
            "license": "681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Respite Care in Lees Summit, MO
• Providers in Lees Summit, MO by specialty
• Respite Care in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.