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:
Health care specialties
Specialty | Code | License # | 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 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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