Evergreen Support Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

EVERGREEN SUPPORT SERVICES LLC

Practice address

11260 N 92ND St Unit 2006
Scottsdale, AZ 85260-6171

Phone

(503) 505-8779

NPI assigned

Apr 27, 2026

Last updated

Apr 27, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tyler Budge

Title

Owner

Phone

(503) 505-8779

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1777248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1467398149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11260 N 92ND ST UNIT 2006",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606171",
            "telephone_number": "503-505-8779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11260 N 92ND ST UNIT 2006",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852606171",
            "telephone_number": "503-505-8779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-27",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-26",
        "status": "A",
        "authorized_official_last_name": "BUDGE",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-505-8779"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• In Home Supportive Care Agency in Arizona

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