Organization Active NPI

Evergreen Residential Care LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Nashville, TN
National Provider Identifier
1487585725
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
EVERGREEN RESIDENTIAL CARE LLC
Practice address
550 Great Circle Rd
Nashville, TN 37228-3124
Phone
(919) 903-4906
NPI assigned
May 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Kevine Kamariza
Title
Nurse
Phone
(919) 903-4906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

550 Great Circle Rd
Nashville, TN 37228-3124

Mailing address

550 Great Circle Rd
Nashville, TN 37228-3124

National Provider Directory

National Provider Directory

Locations

550 Great Circle Rd
Nashville, TN 37228
Phone (919) 903-4906

NPI Registry JSON

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1487585725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 GREAT CIRCLE RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372283124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 GREAT CIRCLE RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372283124",
            "telephone_number": "919-903-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "KAMARIZA",
        "authorized_official_first_name": "KEVINE",
        "authorized_official_title_or_position": "NURSE",
        "authorized_official_telephone_number": "919-903-4906"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.