EVERGREEN CARE LLC (NPI# 1659873552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659873552 |
| Entity Type | Organization |
| Organization Name | EVERGREEN CARE LLC |
| Other Organization Name | MRS. |
| Practice Address |
16609 Pleasant Colony Dr Upper Marlboro MD 20774-8802 |
| Practice Telephone | 2407065109 |
| Mailing Telephone | 2407065109 |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-06 |
| Authorized Official Name | MRS. NGOZI C OJIAKU (OWNER) |
| Authorized Official Telephone | 2407065109 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251J00000X | Nursing Care | Agencies |
| Other Name | Type Code |
|---|---|
| Mrs. | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | EVERGREEN CARE LLC | 16704 International Blvd Ste E, Seatac, WA 98188-3116 |
| Street Address |
16609 PLEASANT COLONY DR |
| City | UPPER MARLBORO |
| State | MD |
| Zip Code | 20774-8802 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417459314 | Ngozi C Ojiaku | Licensed Practical Nurse | 16609 Pleasant Colony Dr, Upper Marlboro, MD 20774-8802 | 2018-03-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922637156 | Marie Charlotte Teboutsou Tsodzou | Nurse Practitioner | 9317 Lavall Drive, Upper Marlboro, MD 20774 | 2020-04-08 |
| 1467093443 | Richland Support Services Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11551 Joyceton Drive, Upper Marlboro, MD 20774 | 2019-10-01 |
| 1770134124 | Alan L Kahn | Counselor | 301 Largo Rd., Largo, MD 20774 | 2019-09-26 |
| 1619522034 | Francisca Ifeoma Alintah | Registered Nurse | 511 Dennis Magruder Dr., Upper Marlboro, MD 20774 | 2019-08-02 |
| 1609337146 | Crystal Osuchukwu | Counselor | 1300 Mccormick Dr, Upper Marlboro, MD 20774 | 2019-03-27 |
| 1861968489 | Collaborative Concepts of Maryland | Counselor | 1400 Mercantile Lane, Suite 208, Largo, MD 20774 | 2018-10-22 |
| 1073097622 | Triple Angels Homecare Services, Inc. | In Home Supportive Care | 1210 Dixie Bowie Way, Upper Marlboro, MD 20774 | 2018-09-19 |
| 1922589654 | Optimum Resource Services, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 711 Harry S. Truman Dr, Unit #105, Largo, MD 20774 | 2018-08-21 |
| 1811475254 | Kolawole Richard Olatunde | Home Health Aide | 11405 Villa Court, Upper Marlboro, MD 20774 | 2018-07-28 |
| 1548747769 | Tiara Williams | Counselor | 15207 Harriet Clotilda Way, Upper Marlboro, MD 20774 | 2018-07-20 |
| Find all providers in zip 20774 | ||||
| Taxonomy Code | 251J00000X |
| Grouping | Agencies |
| Classification | Nursing Care |
| A Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811487382 | Renaissance Healthcare, LLC | Nursing Care | 1302 Eddington Dr, Upper Marlboro, MD 20774-1942 | 2018-05-10 |
| 1184129298 | Grace Line Nursing LLC | Nursing Care | 15445 Depot Ln, Upper Marlboro, MD 20772-3157 | 2018-03-29 |
| 1841702065 | Sunshine Health Staffing LLC | Nursing Care | 4504 Lord Loudoun Ct, Upper Marlboro, MD 20772-5946 | 2017-10-27 |
| 1801315080 | Hope Academy & Nursing Services | Nursing Care | 14101 Christian Street, Upper Marlboro, MD 20772 | 2017-09-19 |
| 1518345610 | Cls Nursing Services | Nursing Care | 6531 Dower House Rd, Upper Marlboro, MD 20772-3802 | 2015-05-11 |
| 1235543034 | Supreme Healthcare Services, LLC | Nursing Care | 7608 Georgian Dr, Upper Marlboro, MD 20772-4496 | 2014-06-19 |
| 1073954368 | Ugo Oluchi Azuewah | Nursing Care | 951 Dunloring Ct, Upper Marlboro, MD 20774-5780 | 2013-07-15 |
| 1336585553 | 1st Choice Home Health Services | Nursing Care | 1414 Canadien Geese Ct, Upper Marlboro, MD 20774-7062 | 2013-05-14 |
| 1487946117 | Cornerstone Care Nursing Services Agency | Nursing Care | 11504 Clematis Ct, Upper Marlboro, MD 20774-9307 | 2011-05-13 |
| 1366673394 | Sunny Nursing Care Services | Nursing Care | 11301 Kettering Ter, Upper Marlboro, MD 20774-1567 | 2009-08-07 |
| Find all providers in UPPER MARLBORO | ||||
| City | UPPER MARLBORO |
| Zip Code | 20774 |
Please comment or provide details below to improve the information on EVERGREEN CARE LLC.
| 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.