Evergreen Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

EVERGREEN HOSPICE LLC

Practice address

24333 Orchard Lake Rd Ste H
Farmington Hills, MI 48336-1976

Phone

(248) 817-5859

Fax

(248) 817-5876

NPI assigned

Sep 9, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Geoffrey Jimenez

Title

Administrator

Phone

(248) 817-5859

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1356742340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24333 ORCHARD LAKE RD STE H",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361976",
            "telephone_number": "248-817-5859",
            "fax_number": "248-817-5876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24333 ORCHARD LAKE RD STE H",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483361976",
            "telephone_number": "248-817-5859",
            "fax_number": "248-817-5876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-09",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "JIMENEZ",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-817-5859",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adrian Everett
• Jennifer Everett
• Karen Everett
• Summer Everett
• Lexus Everette
• Trista Everitt
• Camryn Everlith
• Kristen Michael Evers, NP
• Madeline Everson
• Kaitlin Evett

• Community Based Hospice Care Agency in Farmington Hills, MI
• Providers in Farmington Hills, MI by specialty
• Community Based Hospice Care Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 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.