Evergreens Assisted Living

LBN: Evergreens Assisted Living
Evergreens Assisted Living is an health care organization with primary practice located at 8795 Mission Rd , Jessup MD 20794-3943. The organization recently has only one registered license in Respite Care Facility / Respite Care, which is considered as the primary health care specialty. Evergreens Assisted Living can be contacted via phone (301) 604-1761, or through Grenway, Marian via phone (301) 604-1761.

Contact Information

Primary practice address
8795 Mission Rd Jessup MD 20794-3943
Phone: (301) 604-1761
Fax: (301) 490-6256
Website:
Map and Directions
Authorized official contact:
Name: Grenway, Marian
Phone: (301) 604-1761

Health care specialties

SpecialtyCodeLicense #State
Respite Care Facility / Respite Care 385H00000X 13AL160 Maryland

Profile Details

NPI number 1861688087
LBN Legal business name Evergreens Assisted Living
DBA Doing business as
Authorized official Grenway, Marian
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2007
Last updated Sep 20th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1861688087 NPPES
Maryland MEDICAID 783697000

Popular Providers