Evergreen Health Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EVERGREEN HEALTH CARE

Practice address

5960 Fairview Rd Ste 400
Charlotte, NC 28210-3119

Phone

(206) 708-0600

Fax

(206) 708-0600

NPI assigned

Jan 18, 2018

Last updated

Jan 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lucille McCormick

Title

Secretary

Phone

(704) 496-2699

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516233600000",
    "number": "1770091290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 SIDNEY MARCUS BLVD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245613",
            "telephone_number": "818-326-3834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5960 FAIRVIEW RD STE 400",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103119",
            "telephone_number": "206-708-0600",
            "fax_number": "206-708-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN HEALTH CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2018-01-18",
        "status": "A",
        "authorized_official_last_name": "MCCORMICK",
        "authorized_official_first_name": "LUCILLE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "704-496-2699"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brooke Everson
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• Eves Outreach LLC

• Home Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.