Evergreen Supportive Care, Llc

LBN: Evergreen Supportive Care, Llc
Evergreen Supportive Care, Llc is an health care organization with primary practice located at 7244 Henderson Ave , Saint Louis MO 63121-5018. The organization recently has only one registered license in Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), which is considered as the primary health care specialty. Evergreen Supportive Care, Llc can be contacted via phone (314) 532-5583, or through Brown, Bernadette Marie via phone (314) 532-5583.

Contact Information

Primary practice address
7244 Henderson Ave Saint Louis MO 63121-5018
Phone: (314) 532-5583
Fax: (314) 200-2682
Website:
Map and Directions
Authorized official contact:
Name: Brown, Bernadette Marie
Phone: (314) 532-5583

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X

Profile Details

NPI number 1639917313
LBN Legal business name Evergreen Supportive Care, Llc
DBA Doing business as
Authorized official Brown, Bernadette Marie
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2024
Last updated Jul 17th, 2024 - about last year

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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