Evergreen Private Care of Houston LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EVERGREEN PRIVATE CARE OF HOUSTON LLC

Practice address

16818 N. Eldridge Parkway
Tomball, TX 77377

Phone

(281) 320-1856

Fax

(281) 320-1886

NPI assigned

Jun 8, 2012

Last updated

Mar 23, 2018By the provider in NPPES

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

Mr. Jerry Wheeler

Title

President

Phone

(832) 888-9099

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1821350638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 COLLEGE STATION MOUNTAIN RD",
            "city": "PIKEVILLE",
            "state": "TN",
            "postal_code": "373674435",
            "telephone_number": "404-545-2945",
            "fax_number": "855-841-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16818 N. ELDRIDGE PARKWAY",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "77377",
            "telephone_number": "281-320-1856",
            "fax_number": "281-320-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN PRIVATE CARE OF HOUSTON LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KWJ ASSOCIATES, LLC",
        "enumeration_date": "2012-06-08",
        "last_updated": "2018-03-23",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "832-888-9099",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Brian Eshelman, D.D.S.
• April Estes, LCSW
• Morgan Weslee Ethridge
• Michel Euresti
• Kayla Dawn Evans, PT, DPT
• Everhealth ,PLLC
• Everhealth Management,LLC
• Lauren Emery Ewles, FNP-C
• Excelex Multi Services LLC
• Executive Surgery Center, LLC

• Home Health Agency in Tomball, TX
• Providers in Tomball, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.