Evergreen Living LLC
Organization Active NPI Adult Care Home Facility · Baxter Springs, KS
NPI 1821897992 · NPPES record last updated Mar 11, 2025
Key facts
- NPI
- 1821897992
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Adult Care Home Facility 311ZA0620X
- Legal business name
- EVERGREEN LIVING LLC
- Practice address
- 445 E 10TH St
Baxter Springs, KS 66713-1614 - Phone
- (620) 856-2756
- NPI assigned
- Mar 11, 2025
- Organization subpart
- No
Authorized official
- Name
- Larry Robert Higginbotham
- Title
- Owner
- Phone
- (417) 850-3063
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | Yes |
Addresses
Primary practice location
445 E 10TH St
Baxter Springs, KS 66713-1614
Mailing address
PO Box 92
Racine, MO 64858-0092
Phone (417) 850-3063
Other providers in Baxter Springs, KS
- Community Health Center of Southeast Kansas, Inc.
- Country Angels
- Hailo Davis
- Alison L Eaton
- Evergreen Haven LLC
- Horses of Hope Riding Center, Inc.
- Jeanna R Keizer
- Legacy Living
- Jamie D Lundy
- Tammy Lux
All providers in Baxter Springs, KS · Adult Care Home Facility in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.