Evergreen Pathways Home LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

EVERGREEN PATHWAYS HOME LLC

Practice address

3500 Grove City Rd
Grove City, OH 43123-2598

Phone

(614) 230-7005

NPI assigned

Jan 4, 2025

Organization subpart

No

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

Authorized official

Name

Laila MohamedNPI 1366818171

Title

Ceo

Phone

(614) 230-7005

Specialties & licenses 1

Addresses

Practitioners 1

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

• Laila A Mohamed

  • Nurse's Aide
  • Grove City, OH
  • NPI 1366818171
  NPD Authorized official

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

{
    "created_epoch": "1735948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1902615966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 GROVE CITY RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232598",
            "telephone_number": "614-230-7005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 GROVE CITY RD",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431232598",
            "telephone_number": "614-230-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN PATHWAYS HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-04",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "LAILA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "614-230-7005"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Esworthy, MA, LPC, LPCC
• Bonnie Eugenia, PA-C
• Jason Paul Evanchan, D.O.
• Jordyn Rees Evans, QMHS
• Josh Evans, OTR/L
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• Health Maintenance Organization in Grove City, OH
• Providers in Grove City, OH by specialty
• Health Maintenance Organization in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.