Evergreen Health Care

LBN: Your Health Network, Inc.
Evergreen Health Care is an health care organization with primary practice located at 733 W 40Th St Suite 200, Baltimore MD 21211-2112. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as the primary health care specialty. Your Health Network, Inc. can be contacted via phone (443) 451-4993, or through Kohnen, Jessica L via phone (443) 451-4973.

Contact Information

Primary practice address
733 W 40Th St Suite 200 Baltimore MD 21211-2112
Phone: (443) 451-4993
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kohnen, Jessica L
Phone: (443) 451-4973

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1669860151
LBN Legal business name Your Health Network, Inc.
DBA Doing business as Evergreen Health Care
Authorized official Kohnen, Jessica L
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 6th, 2015
Last updated Jan 6th, 2015 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1669860151 NPPES
Maryland MEDICAID 5354021

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