Evergreen Supported Living

LBN: Evergreen Supported Living
Evergreen Supported Living is an health care organization with primary practice located at 305 Flora St , Bellingham WA 98225-4430. The organization recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Agencies / Case Management, Agencies / Day Training, Developmentally Disabled Services, Agencies / In Home Supportive Care, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Nursing Service Related Providers / Home Health Aide. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Evergreen Supported Living can be contacted via phone (360) 671-5898, or through Mcshane, Zay Aidan Smith via phone (360) 671-5898.

Contact Information

Primary practice address
305 Flora St Bellingham WA 98225-4430
Phone: (360) 671-5898
Fax: (360) 922-0648
Website:
Map and Directions
Authorized official contact:
Name: Mcshane, Zay Aidan Smith
Phone: (360) 671-5898

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Agencies / Case Management 251B00000X
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / In Home Supportive Care 253Z00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1124767587
LBN Legal business name Evergreen Supported Living
DBA Doing business as
Authorized official Mcshane, Zay Aidan Smith
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2022
Last updated Jun 2nd, 2022 - about 2 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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