Active NPI
Evergreen Residential Care LLC
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Nashville, TN
National Provider Identifier
1487585725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Evergreen Nephrology of New York PLLC
- Evergreen Nephrology of the Midwest, PLLC
- Evergreen Nephrology PLLC
- Evergreen Network LLC
- Evergreen Presbyterian Ministries of Middle TN
- Lisa M Everhart, APRN, PMHNP-BC
- Teresa Altona Everhart, OTD, OTR/L
- Kelly R Everman, M.D.
- Evernest Care LLC
- Evernorth Direct Health LLC
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.