Evergreen Group, L.L.C.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EVERGREEN GROUP, L.L.C.

Doing business as

ClearPath Home Health

Practice address

1861 N Rock Rd Ste 102
Wichita, KS 67206-1264

Phone

(316) 440-6780

NPI assigned

Mar 24, 2021

Organization subpart

No

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

Authorized official

Name

Aly A GadallaNPI 1083693634

Title

Owner

Phone

(316) 641-7385

Specialties & licenses 1

Addresses

Other names 1

• ClearPath Home Health Doing business as

Listed as

Clearpath Home HealthCCN 178133

Ownership

-

Certified

Oct 20, 2022

Medicare certification status

ActiveFrom the Provider of Services file

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Clear Path Hospice of Wichita, LLC

  • Community Based Hospice Care Agency
  • Wichita, KS
  • NPI 1063709087

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aly A Gadalla, MD

  • Internal Medicine Physician
  • Wichita, KS
  • NPI 1083693634
  NPD Authorized official

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1740867191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1861 N ROCK RD STE 102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1861 N ROCK RD STE 102",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672061264",
            "telephone_number": "316-440-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN GROUP, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "GADALLA",
        "authorized_official_first_name": "ALY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-641-7385"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ClearPath Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shayna Evans
• Shelby Evans, PH.D.
• Theresa Ann Evans, PTA
• Lueata Ann Evenson, LSCSW
• Gina M Everett, PA
• Evergreen Wellnes Center
• Brooke Everhart
• Elizabeth Everhart
• Every Child'S Voice, LLC
• Evolution Counseling

• Home Health Agency in Wichita, KS
• Providers in Wichita, KS by specialty
• Home Health Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.