EVERGREEN LIFE SERVICES OF FLORIDA, INC.
NPI 1093365215
Day Training, Developmentally Disabled Services in Largo, FL

Active since September 19, 2019
2101 STARKEY RD, LARGO, FL 33771(727) 748-6203 Get Directions Write a Review

NPPES record last updated: January 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 27, 2021, Sep 19, 2019 (2 updates tracked since 2019).

About Evergreen Life Services Of Florida, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERGREEN LIFE SERVICES OF FLORIDA, INC. (NPI 1093365215) is a healthcare organization registered as a day training, developmentally disabled services in Largo, Florida and active in the NPI registry since September 2019. The organization lists Merlon Kent Craft, Evp/cfo, as its authorized official.

NPPES Registry Identity

NPI1093365215
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameEVERGREEN LIFE SERVICES OF FLORIDA, INC.
Location Address2101 STARKEY RDLargo, FL 33771-5340
Mailing Address2101 Highway 80Haughton, LA 71037-9488 · (318) 949-5515 · Fax (318) 949-5555
Organization SubpartNo
Authorized OfficialMerlon Kent CraftEvp/cfo · (318) 949-5515
Enumeration DateSeptember 19, 2019
Last NPPES UpdateJanuary 27, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2021
NPI 1093365215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code251C00000X
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
2101 STARKEY RD, Largo, FL 33771

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evergreen Life Services Of Florida, Inc.'s NPI number?

The NPI number for Evergreen Life Services Of Florida, Inc. is 1093365215. It was assigned to this organization in the NPPES registry on September 19, 2019.

Where is Evergreen Life Services Of Florida, Inc. located?

Evergreen Life Services Of Florida, Inc. is located at 2101 Starkey Rd, Largo, FL 33771. The listed phone number is (727) 748-6203.

What is Evergreen Life Services Of Florida, Inc.'s specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Evergreen Life Services Of Florida, Inc. was last updated on January 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.