EVERGREEN RECOVERY (NPI# 1972967479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972967479 |
| Entity Type | Organization |
| Organization Name | EVERGREEN RECOVERY |
| Practice Address |
2601 Summit Ave Everett WA 98201-3309 |
| Mailing Address |
Po Box 12598 Everett WA 98206-2598 |
| Practice Telephone | 4254935310 |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2016-04-11 |
| Authorized Official Name | LINDA GRANT (DIRECTOR) |
| Authorized Official Telephone | 4254935310 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | CO6035443 | WA | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992152821 | Evergreen Recovery | Counselor | 1400 Energy Park Dr, Suite 21, Saint Paul, MN 55108-5272 | 2016-05-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | EVERGREEN RECOVERY CENTERS | 11627 Airport Rd Ste B, Everett, WA 98204-8714 |
| Colorado Business Entities | EVERGREEN RECOVERY SYSTEMS, LLC | 3001 Arrowhead Rd, Laporte, CO 80535 |
| Street Address |
2601 SUMMIT AVE |
| City | EVERETT |
| State | WA |
| Zip Code | 98201-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205965159 | Evergreen Manor Detox | Substance Abuse Rehabilitation Facility | 2601 Summit Ave, Everett, WA 98201 | 2007-03-05 |
| 1023625266 | Jessica Marie Allen | Counselor | 2601 Summit Ave, Everett, WA 98201-3309 | 2020-09-30 |
| 1215542501 | Maya Elizabeth Caldwell Eleazer | Counselor | 2601 Summit Ave, Everett, WA 98201-3309 | 2020-09-13 |
| 1124645866 | Jill Marie Overton | Counselor | 2601 Summit Ave, Everett, WA 98201-3309 | 2020-06-29 |
| 1639798192 | Shante Monique Miller | Counselor | 2601 Summit Ave, Everett, WA 98201-3309 | 2020-04-14 |
| 1922638352 | Michelle Agnes Mcclory | Counselor | 2601 Summit Ave, Everett, WA 98201-3309 | 2020-01-24 |
| 1053941658 | Sunshine Jay Graham | Counselor | 2601 Summit Ave, Everett, WA 98201-3309 | 2020-01-22 |
| 1649828849 | Alexandra Rose Schmidt | Counselor | 2601 Summit Ave, Everett, WA 98201-3309 | 2019-08-30 |
| 1659932242 | Marie Emmanuelle Brown | Counselor | 2601 Summit Ave, Everett, WA 98201-3309 | 2019-06-24 |
| 1700440294 | Leslie Orr | Counselor | 2601 Summit Ave, Everett, WA 98201-3309 | 2019-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306471867 | Shannon Michelle Dewald | Registered Nurse | D8s 1700 13th St, Everett, WA 98201 | 2020-03-05 |
| 1578123113 | Precious Medicial Spa, LLC | Registered Nurse | 1728 W. Marine View Dr Suite 212, Everett, WA 98201 | 2019-06-17 |
| 1508429796 | Alix Deschain | Counselor | 2801 Broadway, Everett, WA 98201 | 2019-04-15 |
| 1811457534 | Khushboo Patel | Pharmacist | 1330 Rockefeller Ave Ste 150, Everett, WA 98201 | 2019-03-20 |
| 1164991188 | Grace Talbot Davis | Registered Nurse | 2601 Summit Avenue, Bldg. C, Everett, WA 98201 | 2018-11-20 |
| 1063924603 | Tracy Sisk | Counselor | 3120 Colby Ave, 502, Everett, WA 98201 | 2017-11-03 |
| 1710403126 | Michelle Durham | Counselor | 3322 Boadway Fl 2, Everett, WA 98201 | 2017-08-17 |
| 1861927949 | Melanie Schmidt | Counselor | 2610 Westmore Ave, Everett, WA 98201 | 2017-04-26 |
| 1518413327 | Joseph Madson Dmd Pllc | Clinic/Center | 3802 Colby Ave, 4th Floor, Everett, WA 98201 | 2016-08-31 |
| 1043683162 | Jennifer Adams | Counselor | 1511 26th St, Everett, WA 98201 | 2015-11-11 |
| Find all providers in zip 98201 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205965159 | Evergreen Manor Detox | Substance Abuse Rehabilitation Facility | 2601 Summit Ave, Everett, WA 98201 | 2007-03-05 |
| 1548409345 | Baleva Maurice Ward | Substance Abuse Rehabilitation Facility | 811 Madison St, Everett, WA 98203-4543 | 2009-02-18 |
| 1093998312 | Evergreen Manor - Residential 2 | Substance Abuse Rehabilitation Facility | 2601 Summit Ave, Everett, WA 98201-3309 | 2007-12-10 |
| 1215067319 | Evergreen Manor Residential | Substance Abuse Rehabilitation Facility | 2601 Summit Ave, Everett, WA 98201 | 2007-03-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730787763 | For The Culture Counseling Services | Substance Abuse Rehabilitation Facility | 4301 S Pine St Ste 92, Tacoma, WA 98409-7259 | 2020-10-12 |
| 1760090518 | Hotel California By The Sea Bellevue, LLC. | Substance Abuse Rehabilitation Facility | 7810 130th Ave Ne, Kirkland, WA 98033-8251 | 2020-07-17 |
| 1629532569 | Sandra Ann Moore | Substance Abuse Rehabilitation Facility | 2632 E 17th St, Bremerton, WA 98310-5058 | 2019-01-24 |
| 1972085835 | Peninsula Counseling, LLC | Substance Abuse Rehabilitation Facility | 3214 50th Street Ct Nw Ste D-305, Gig Harbor, WA 98335-8589 | 2018-09-06 |
| 1356831911 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 44 E Cozza Dr Ste B, Spokane, WA 99208-6514 | 2018-05-18 |
| 1609365238 | American Behavioral Health Systems, Inc. | Substance Abuse Rehabilitation Facility | 500 Se Adams Ave, Chehalis, WA 98532 | 2018-05-09 |
| 1023515400 | Evergreen Recovery Centers | Substance Abuse Rehabilitation Facility | 1905 Continental Place, Mount Vernon, WA 98273 | 2018-04-11 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1346785524 | Big Change Medical | Substance Abuse Rehabilitation Facility | 26857 16th Ave S, Des Moines, WA 98198-9327 | 2016-12-27 |
| 1881062362 | Sea-mar Community Health Center | Substance Abuse Rehabilitation Facility | 113 23rd Ave S, Seattle, WA 98144-2309 | 2015-09-14 |
| Find all providers with the same taxonomy | ||||
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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.