EVERGREEN HOME HEALTHCARE (NPI# 1386717551) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386717551 |
| Entity Type | Organization |
| Organization Name | EVERGREEN HOME HEALTHCARE |
| Practice Address |
1088 Rice St Suite 6 Saint Paul MN 55117-2906 |
| Practice Telephone | 6514875094 |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | PAO C YANG (DIRECTOR) |
| Authorized Official Telephone | 6514872074 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 332195 | MN | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MEDICA MSHO | 4980376 | 01 |
| MN | HEALTH PARTNER | 110308 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Evergreen Home Healthcare IHSS, LLC | 301 N Howes St Suite110, Fort Collins, CO 80521 |
| Street Address |
1088 RICE ST SUITE 6 |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55117-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811358393 | Advanced Home Care, Inc | Home Health | 1088 Rice St, Suite B, Saint Paul, MN 55117-2906 | 2016-03-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306309992 | Katrina Gregor | Social Worker | Po Box 17370 Lot 537, St. Paul, MN 55117 | 2019-04-10 |
| 1083160352 | Miracle Home Health Care, Inc. | Home Health | 55 Lyton Place, Saint Paul, MN 55117 | 2016-08-28 |
| 1871958827 | Roxanne Marie Cruciani | Physical Therapy Assistant | 41 East County Road C, #211, Little Canada, MN 55117 | 2015-12-17 |
| 1386064111 | Laura Giegler | Family Medicine | 1983 Sloan Pl Ste 1, Saint Paul, MN 55117 | 2014-04-19 |
| 1235564352 | Jennifer Ann Bertolatus | Counselor | 1585 Rice Street, St. Paul, MN 55117 | 2013-09-09 |
| 1851670400 | Healthy Community Services Agency, Inc | Home Health | 1096 Rice St., St. Paul, MN 55117 | 2011-08-15 |
| 1609184639 | Ondrea Perlman | Advanced Practice Midwife | 91 Viking Drive West, Little Canada, MN 55117 | 2010-09-24 |
| 1710126107 | Have A Heart Home Health Group, LLC | Home Health | 1973 Sloan Place, Suite 70, Maplewood, MN 55117 | 2009-02-09 |
| 1508052424 | Integratiavecare Vadnais Heights LLC | Pharmacy | 5 East County Road B, Suite #2, Little Canada, MN 55117 | 2007-09-25 |
| 1174728257 | Step Therapies, Inc. | Specialist | 75 W Viking Drive, Suite 101, Little Canada, MN 55117 | 2007-06-18 |
| Find all providers in zip 55117 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295348381 | Sunshine Group Home LLC | Home Health | 125 Magnolia Ave W, Saint Paul, MN 55117-4916 | 2020-08-28 |
| 1780202895 | Mohamed Ibrahim Hussen | Home Health | 2901 Mounds View Blvd Apt 114, Saint Paul, MN 55112-0009 | 2020-07-07 |
| 1457978355 | Sifu Health LLC | Home Health | 1821 University Ave W Ste 319, Saint Paul, MN 55104-4537 | 2020-06-26 |
| 1124641196 | Kindly Care Resident LLC | Home Health | 605 Whitall St, Saint Paul, MN 55130-4155 | 2020-05-25 |
| 1598388753 | Foursyght LLC | Home Health | 275 4th St E Ste 345, Saint Paul, MN 55101-1864 | 2020-05-22 |
| 1245851583 | Kare Home Health Inc | Home Health | 1881 Mechanic Ave Apt 215, Saint Paul, MN 55119-3328 | 2020-04-28 |
| 1548889348 | Happy Home Health Services, Inc. | Home Health | 393 Dunlap St N Ste 400h, Saint Paul, MN 55104-4235 | 2020-04-11 |
| 1891321485 | Reliacare Home Health Inc | Home Health | 883 Saint Anthony Ave, Saint Paul, MN 55104-4736 | 2020-03-16 |
| 1992337893 | Three Stars Group Homes LLC | Home Health | 630 Virginia St, Saint Paul, MN 55103-1757 | 2020-02-08 |
| 1700427291 | Reign Services LLC | Home Health | 8230 Long Lake Rd, Saint Paul, MN 55112-4622 | 2019-10-05 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55117 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.