Evergreen Independant Living, LLC

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

EVERGREEN INDEPENDANT LIVING, LLC

Practice address

3805 7TH St NE TRLR 74
Great Falls, MT 59404-1152

Phone

(406) 231-6293

NPI assigned

Oct 17, 2012

Organization subpart

No

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

Authorized official

Name

Jody Hanks

Title

Owner/Ceo

Phone

(406) 231-6293

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1350432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350432000000",
    "number": "1477806388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "BLACK EAGLE",
            "state": "MT",
            "postal_code": "594140249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3805 7TH ST NE TRLR 74",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594041152",
            "telephone_number": "406-231-6293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN INDEPENDANT LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-17",
        "last_updated": "2012-10-17",
        "status": "A",
        "authorized_official_last_name": "HANKS",
        "authorized_official_first_name": "JODY",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "406-231-6293"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane L Evans, CRNP
• Paige Nicole Evans, BA
• Eve M Gerasimou,MD LLC (Great Falls Cardiology)
• Julie Schwartz Evenson, R.PH
• Scott Michale Evenson, PT, CWS
• Marjorie Geisz Everson, CRNA
• Eye Clinic of Great Falls, P.C.
• Eye Mart Express LLC
• Eyemart Express LTD
• Glenn Jacob Fairhurst

• Developmentally Disabled Services Day Training Agency in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Developmentally Disabled Services Day Training Agency in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; 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.