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Contact Information

EVERGREEN TEAM HOLDINGS LLC - SUPPORTING BRIGHT FUTURES DBA
16745 BIG BEAR RD
LOWER LAKE, CA95457-9712
 Phone: 707-266-9150
 Fax: 707-922-0898
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Management

251B00000X
 

Lodging

177F00000X
 

Respite Care

385H00000X
Indicates primary specialty

NPI Profile & details for EVERGREEN TEAM HOLDINGS LLC - SUPPORTING BRIGHT FUTURES DBA

NPI # 1811795370
LBN Legal business name EVERGREEN TEAM HOLDINGS LLC - SUPPORTING BRIGHT FUTURES DBA
Authorized official ANGELIQUE COLE - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/03/2025
Last updated 04/28/2026 - About a month ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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