Evergreen Congregate, Llc

LBN: Evergreen Congregate, Llc
Evergreen Congregate, Llc is an health care organization with primary practice located at 823 Towne St , Costa Mesa CA 92627-3509. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities, which is considered as the primary health care specialty. Evergreen Congregate, Llc can be contacted via phone (949) 397-0658, or through Green, Adam Cortland via phone (949) 397-0658.

Contact Information

Primary practice address
823 Towne St Costa Mesa CA 92627-3509
Phone: (949) 397-0658
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Green, Adam Cortland
Phone: (949) 397-0658

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Physical Disabilities 320700000X

Profile Details

NPI number 1558015248
LBN Legal business name Evergreen Congregate, Llc
DBA Doing business as
Authorized official Green, Adam Cortland
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2022
Last updated Feb 10th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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