Evergreen Oasis Care Home LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

EVERGREEN OASIS CARE HOME LLC

Practice address

4621 180TH St SW
Lynnwood, WA 98037-3602

Phone

(425) 737-6005

NPI assigned

May 18, 2026

Organization subpart

No

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

Authorized official

Name

Aminata Trawally, CNA

Title

Provider

Phone

(425) 737-6005

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1779062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779062400000",
    "number": "1922937697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4621 180TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980373602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4621 180TH ST SW",
            "city": "LYNNWOOD",
            "state": "WA",
            "postal_code": "980373602",
            "telephone_number": "425-737-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN OASIS CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-18",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "TRAWALLY",
        "authorized_official_first_name": "AMINATA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "425-737-6005",
        "authorized_official_credential": "CNA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Espeland
• Camilo Espinosa Ballen
• Januario Paynor Estrada IV, M.D.
• Christopher Eugene Etzkorn, M.D.
• Gerallynn Eusebio, PA
• Evergreen Recovery Centers-Lynnwood Detox
• Everhome Healthcare LLC
• Everhome Healthcare LLC
• Everhome Healthcare LLC
• Everyone by One - Lynnwood PLLC

• Adult Care Home Facility in Lynnwood, WA
• Providers in Lynnwood, WA by specialty
• Adult Care Home Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.