Evergreen Elder Care, Inc.

LBN: Evergreen Elder Care, Inc.
Evergreen Elder Care, Inc. is an health care organization with primary practice located at 7340 Blanco Rd Suite 1122, San Antonio TX 78216-4966. The organization recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Evergreen Elder Care, Inc. can be contacted via phone (210) 826-2116, or through Crawford, James R via phone (210) 826-2116.

Contact Information

Primary practice address
7340 Blanco Rd Suite 1122 San Antonio TX 78216-4966
Phone: (210) 826-2116
Fax: (210) 525-8979
Website:
Map and Directions
Authorized official contact:
Name: Crawford, James R PHD
Phone: (210) 826-2116

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1578658639
LBN Legal business name Evergreen Elder Care, Inc.
DBA Doing business as
Authorized official Crawford, James R PHD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578658639 NPPES
Texas MEDICAID 1728479-01
Texas Other 31420501578216-8001

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