EVERGREEN HEALTHCARE SERVICES, INC.; NPI #1215936539

Contact Information

EVERGREEN HEALTHCARE SERVICES, INC.

417 MALLEABLE ST
SHARON, PA 16146-1936

Phone: 724-347-7344
Fax: 724-347-7345
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Respite Care, Intellectual and/or Developmental Disabilities	385HR2060X

Indicates primary specialty

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NPI Profile & details for EVERGREEN HEALTHCARE SERVICES, INC.

NPI Number 1215936539

LBN Legal business name EVERGREEN HEALTHCARE SERVICES, INC.

Authorized official DEBORAH BAILEY - (EXECUTIVE DIRECTOR)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/19/2005

Last updated 08/22/2020 - About 6 years ago

Identifiers

OH	License #	78111
OH	Medicaid	2437643
PA	Medicaid	0019703400003

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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EVERGREEN HEALTHCARE SERVICES, INC.

Contact Information

Specialty

Respite Care, Intellectual and/or Developmental Disabilities

NPI Profile & details for EVERGREEN HEALTHCARE SERVICES, INC.

Reviews for EVERGREEN HEALTHCARE SERVICES, INC.