Evergreen Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EVERGREEN CARE LLC

Practice address

1480 Brittain Rd Ste B
Akron, OH 44310-3653

Phone

(330) 906-4252

NPI assigned

Mar 31, 2022

Organization subpart

No

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

Authorized official

Name

Hem Rai

Title

President

Phone

(330) 906-4252

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467192088. Details of each certification follow.

• CCN 369426 Home health agency · Active · Details

Home health agency certification: CCN 369426

Legal name

EVERGREEN CARE LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 15, 2025

Last certification

Jul 2, 2025

Organization structure

LLCProprietary

Incorporated

Oct 21, 2021 in OH

Enrollment address

71 West Ave
Ste 4
Tallmadge, OH 44278-2236

Locations

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1467192088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1480 BRITTAIN RD STE B",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443103653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1480 BRITTAIN RD STE B",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443103653",
            "telephone_number": "330-906-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "RAI",
        "authorized_official_first_name": "HEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-906-4252"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Everside Health LLC (Marathon Health, Akron OH- S Main St)
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• Home Health Agency in Akron, OH
• Providers in Akron, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.