EVERGREEN COMMUNITY SUPPORTS, LLC
NPI 1154653897
Community/Behavioral Health in Stanton, KY

Q: What is Evergreen Community Supports, LLC's NPI number?

The NPI number for Evergreen Community Supports, LLC is 1154653897. It was assigned to this organization in the NPPES registry on February 5, 2010.

Q: What is Evergreen Community Supports, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since February 05, 2010

316B STEAM SHOVEL ROAD, STANTON, KY 40380(859) 644-2584 Get Directions Write a Review

NPPES record last updated: February 5, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Evergreen Community Supports, Llc NPPES

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

EVERGREEN COMMUNITY SUPPORTS, LLC (NPI 1154653897) is a healthcare organization registered as a community/behavioral health in Stanton, Kentucky and active in the NPI registry since February 2010. The organization lists Deana Carol Pack, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1154653897

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameEVERGREEN COMMUNITY SUPPORTS, LLC

Location Address316B STEAM SHOVEL ROADStanton, KY 40380

Mailing Address104 Old Bottom RoadWinchester, KY 40391 · (859) 644-2584

Phone(859) 644-2584

Organization SubpartNo

Authorized OfficialDeana Carol PackExecutive Director · (859) 644-2584

Enumeration DateFebruary 5, 2010

✔ NPI 1154653897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

316B STEAM SHOVEL ROAD, Stanton, KY 40380

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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 Community Supports, LLC's NPI number?

The NPI number for Evergreen Community Supports, LLC is 1154653897. It was assigned to this organization in the NPPES registry on February 5, 2010.

Where is Evergreen Community Supports, LLC located?

Evergreen Community Supports, LLC is located at 316B Steam Shovel Road, Stanton, KY 40380. The listed phone number is (859) 644-2584.

What is Evergreen Community Supports, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Evergreen Community Supports, LLC was last updated on February 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.