Evergreen Homecare Llc

LBN: Evergreen Homecare Llc
Evergreen Homecare Llc is an health care organization with primary practice located at 8156 Rainwater Cir , Manassas VA 20111-5231. The organization recently has 4 registered licenses in different health care specialties including Agencies / Home Health, Agencies / Nursing Care, Nursing Service Related Providers / Personal Care Attendant, Respite Care Facility / Respite Care. Agencies / Nursing Care is the primary health care specialty. Evergreen Homecare Llc can be contacted via phone (267) 990-3019, or through Boafo, Prince via phone (703) 895-9161.

Contact Information

Primary practice address
8156 Rainwater Cir Manassas VA 20111-5231
Phone: (267) 990-3019
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boafo, Prince
Phone: (703) 895-9161

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X
Agencies / Nursing Care 251J00000X
Nursing Service Related Providers / Personal Care Attendant 3747P1801X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1093593048
LBN Legal business name Evergreen Homecare Llc
DBA Doing business as
Authorized official Boafo, Prince
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2023
Last updated Apr 29th, 2024 - about 2 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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