Organization Active NPI

Evergrace Home Care LLC

  • Home Health Agency
  • Port St Lucie, FL
National Provider Identifier
1437075082
Registry record updated Jun 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EVERGRACE HOME CARE LLC
Practice address
10450 SW Waterway LN
Port St Lucie, FL 34987-2494
Phone
(772) 249-1634
NPI assigned
Jun 27, 2026
Last updated
Jun 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2026

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

Authorized official

Name
Elizabeth Joseph Ortega, DMDNPI 1851091185
Title
Administrator
Phone
(689) 250-7795

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

10450 SW Waterway LN
Port St Lucie, FL 34987-2494

Mailing address

10450 SW Waterway LN
Port St Lucie, FL 34987-2494
Phone (772) 249-1634

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1782518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782518400000",
    "number": "1437075082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10450 SW WATERWAY LN",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872494",
            "telephone_number": "772-249-1634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10450 SW WATERWAY LN",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872494",
            "telephone_number": "772-249-1634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGRACE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-27",
        "last_updated": "2026-06-27",
        "certification_date": "2026-06-27",
        "status": "A",
        "authorized_official_last_name": "JOSEPH ORTEGA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "689-250-7795",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.