Evergreen Home Healthcare

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

332195 Issued in MN

Legal business name

EVERGREEN HOME HEALTHCARE

Practice address

1088 Rice St
Suite 6
Saint Paul, MN 55117-2906

Phone

(651) 487-5094

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Pao C Yang

Title

Director

Phone

(651) 487-2074

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386717551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1088 RICE ST",
            "address_2": "SUITE 6",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551172906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 RICE ST",
            "address_2": "SUITE 6",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551172906",
            "telephone_number": "651-487-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN HOME HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "PAO",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "651-487-2074"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MN",
            "license": "332195",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA MSHO",
            "identifier": "4980376",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNER",
            "identifier": "110308",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Everest Service Corporation
• Simon Everest
• Telesea Chantelle Everett, LICSW
• Evergreen Chiropractic
• Evergreen Health Services PLC
• Evergreen Mental Health Services, Inc
• Evergreen Recovery
• Evergreen Recovery Clinical Laboratory
• Sarah Jane Evergreen, LCSW
• Charles Everingham

• Home Health Agency in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Home Health Agency in Minnesota

• 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.