Organization Active NPI

Evergreen Therapy Services, Inc

  • In Home Supportive Care Agency
  • Miami Beach, FL
National Provider Identifier
1396058590
Registry record updated Jul 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EVERGREEN THERAPY SERVICES, INC
Practice address
220 71St St
Ste 217
Miami Beach, FL 33141-3295
Phone
(786) 333-0844
Fax
(866) 591-0740
NPI assigned
Jul 16, 2010
Last updated
Jul 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2010

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

Authorized official

Name
Madelyn Enriquez
Title
President/Owner
Phone
(786) 333-0844

Specialties & licenses 1

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

Addresses

Primary practice location

220 71St St
Ste 217
Miami Beach, FL 33141-3295

Mailing address

220 71St St
Ste 217
Miami Beach, FL 33141-3295
Phone (786) 333-0844

National Provider Directory

National Provider Directory

Locations

220 71st St
Ste 217
Miami Beach, FL 33141
Phone (786) 333-0844

NPI Registry JSON

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

{
    "created_epoch": "1279238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279238400000",
    "number": "1396058590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 71ST ST",
            "address_2": "STE 217",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331413295",
            "telephone_number": "786-333-0844",
            "fax_number": "866-591-0740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 71ST ST",
            "address_2": "STE 217",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331413295",
            "telephone_number": "786-333-0844",
            "fax_number": "866-591-0740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN THERAPY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-16",
        "last_updated": "2010-07-16",
        "status": "A",
        "authorized_official_last_name": "ENRIQUEZ",
        "authorized_official_first_name": "MADELYN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "786-333-0844"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2010; 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.