Evergreen Home Care, Llc

LBN: Evergreen Home Care, Llc
Evergreen Home Care, Llc is an health care organization with primary practice located at 2529 W Darrel Rd , Phoenix AZ 85041-6457. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. Evergreen Home Care, Llc can be contacted via phone (619) 882-0072, or through Dahir, Mohamed via phone (619) 882-0072.

Contact Information

Primary practice address
2529 W Darrel Rd Phoenix AZ 85041-6457
Phone: (619) 882-0072
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dahir, Mohamed
Phone: (619) 882-0072

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1295328110
LBN Legal business name Evergreen Home Care, Llc
DBA Doing business as
Authorized official Dahir, Mohamed
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2021
Last updated Feb 11th, 2021 - 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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