Organization Active NPI

Evergrace Home Care Group LLC

  • In Home Supportive Care Agency
  • Raleigh, NC
National Provider Identifier
1548172059
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
EVERGRACE HOME CARE GROUP LLC
Practice address
19 E Martin St Ste 307
Raleigh, NC 27601-3013
Phone
(919) 601-4220
NPI assigned
Sep 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Ashica Tyler
Title
Owner
Phone
(919) 601-4220

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Respite Care 385H00000X

Addresses

Primary practice location

19 E Martin St Ste 307
Raleigh, NC 27601-3013

Mailing address

6321 Perry Creek Rd
Raleigh, NC 27616-4348
Phone (919) 601-4220

NPI Registry JSON

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1548172059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6321 PERRY CREEK RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276164348",
            "telephone_number": "919-601-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 E MARTIN ST STE 307",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276013013",
            "telephone_number": "919-601-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGRACE HOME CARE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-19",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "ASHICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-601-4220"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.