Active NPI
Evergreen Therapy Services, Inc
- In Home Supportive Care Agency
- Miami Beach, FL
National Provider Identifier
1396058590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.