Organization Active NPI

Evergreen Homecare at Boca

  • Home Health Agency
  • Boca Raton, FL
National Provider Identifier
1871853515
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
EVERGREEN HOMECARE AT BOCA
Practice address
4400 N Federal Hwy
Suite 210-48
Boca Raton, FL 33431-5187
Phone
(561) 922-9726
Fax
(561) 922-9728
NPI assigned
May 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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

Authorized official

Name
Miss Gladys Estefania Huiza
Title
Admistrator
Phone
(786) 470-5159

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4400 N Federal Hwy
Suite 210-48
Boca Raton, FL 33431-5187

Mailing address

4400 N Federal Hwy
Suite 210-48
Boca Raton, FL 33431-5187
Phone (561) 922-9726

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1338163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354838400000",
    "number": "1871853515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 N FEDERAL HWY",
            "address_2": "SUITE 210-48",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334315187",
            "telephone_number": "561-922-9726",
            "fax_number": "561-922-9728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 N FEDERAL HWY",
            "address_2": "SUITE 210-48",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334315187",
            "telephone_number": "561-922-9726",
            "fax_number": "561-922-9728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN HOMECARE AT BOCA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-28",
        "last_updated": "2012-12-07",
        "status": "A",
        "authorized_official_last_name": "HUIZA",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "ESTEFANIA",
        "authorized_official_title_or_position": "ADMISTRATOR",
        "authorized_official_telephone_number": "786-470-5159",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2012; 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.