Evergreen Private Care of Florida LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EVERGREEN PRIVATE CARE OF FLORIDA LLC

Practice address

7301 SW Gaines Ave
Stuart, FL 34997-7332

Phone

(281) 320-1856

NPI assigned

Jan 31, 2019

Organization subpart

Yes

Parent organization

KWJ ASSOCIATES, LLCAs reported in NPPES

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

Authorized official

Name

Keren Wheeler

Title

Ceo

Phone

(772) 888-6962

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1669937942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1187",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334751187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 SW GAINES AVE",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349977332",
            "telephone_number": "281-320-1856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN PRIVATE CARE OF FLORIDA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KWJ ASSOCIATES, LLC",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "KEREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "772-888-6962"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kameron Kennedy Evans
• Peter John Evans, MD, PHD, FAAOS
• Tammy Ann Evans, A.R.N.P.
• Yolanda Evans
• Evergrace Health Group PLLC
• Amy E. Eversole, M.D.
• Everyone Works
• Juninho Exavier
• Eyewear of Stuart, Inc.
• Abigail Makonnen Eyoalle

• Home Health Agency in Stuart, FL
• Providers in Stuart, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.