EVERGREEN CARE SOLUTION LLC
NPI 1114654407
Nurse Practitioner - Psychiatric/Mental Health in Gaithersburg, MD

Active since August 05, 2022
325 ELLINGTON BLVD # 117, GAITHERSBURG, MD 20878(336) 254-4619 Get Directions Write a Review

NPPES record last updated: January 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 27, 2023, Aug 5, 2022 (2 updates tracked since 2022).

About Evergreen Care Solution Llc NPPES

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

EVERGREEN CARE SOLUTION LLC (NPI 1114654407) is a healthcare organization registered as a psychiatric/mental health in Gaithersburg, Maryland and active in the NPI registry since August 2022. The organization lists Adaku Anike, President, as its authorized official.

NPPES Registry Identity

NPI1114654407
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameEVERGREEN CARE SOLUTION LLC
Location Address325 ELLINGTON BLVD # 117Gaithersburg, MD 20878-4591
Mailing Address325 Ellington Blvd # 117Gaithersburg, MD 20878-4591 · (617) 379-0496
Organization SubpartNo
Authorized OfficialAdaku AnikePresident · (617) 379-0496
Enumeration DateAugust 5, 2022
Last NPPES UpdateJanuary 27, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2023
NPI 1114654407 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
325 ELLINGTON BLVD # 117, Gaithersburg, MD 20878

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
325 ELLINGTON BLVD # 117
GAITHERSBURG, MD 20878

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 Care Solution LLC's NPI number?

The NPI number for Evergreen Care Solution LLC is 1114654407. It was assigned to this organization in the NPPES registry on August 5, 2022.

Where is Evergreen Care Solution LLC located?

Evergreen Care Solution LLC is located at 325 Ellington Blvd # 117, Gaithersburg, MD 20878. The listed phone number is (336) 254-4619.

What is Evergreen Care Solution LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Evergreen Care Solution LLC was last updated on January 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.