Organization Active NPI

Everglow Home Care

  • In Home Supportive Care Agency
  • Redmond, WA
National Provider Identifier
1376496331
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EVERGLOW HOME CARE
Practice address
14612 NE 80TH PL
Redmond, WA 98052-3434
Phone
(206) 300-0755
NPI assigned
Feb 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Authorized official

Name
Carissa Destinia
Title
Owner
Phone
(206) 300-0755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

14612 NE 80TH PL
Redmond, WA 98052-3434

Mailing address

14612 NE 80TH PL
Redmond, WA 98052-3434

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1771372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1376496331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14612 NE 80TH PL",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14612 NE 80TH PL",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980523434",
            "telephone_number": "206-300-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGLOW HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-18",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "DESTINIA",
        "authorized_official_first_name": "CARISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-300-0755"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redmond, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.