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EVERGREEN HOME HEALTH CARE LLC
NPI 1174526453
Home Health in Clarkston, MI

Active since May 31, 2005
5980 S MAIN ST, SUITE 102, CLARKSTON, MI 48346(248) 620-1211(248) 620-1214 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Home Health Care Llc NPPES

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

EVERGREEN HOME HEALTH CARE LLC (NPI 1174526453) is a healthcare organization registered as a home health in Clarkston, Michigan and active in the NPI registry since May 2005. The organization lists Richard Kelterborn, Administrator, as its authorized official.

NPPES Registry Identity

NPI1174526453
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameEVERGREEN HOME HEALTH CARE LLC
Location Address5980 S MAIN ST, SUITE 102Clarkston, MI 48346
Mailing Address5980 S Main St, Suite 102Clarkston, MI 48346 · (248) 620-1211 · Fax (248) 620-1214
Phone(248) 620-1211
Fax(248) 620-1214
Organization SubpartNo
Authorized OfficialRichard KelterbornAdministrator · (248) 620-1211
Enumeration DateMay 31, 2005
Last NPPES UpdateAugust 22, 2020
✔ NPI 1174526453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in MI · MI638061
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
5980 S MAIN ST, Clarkston, MI 48346
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Other Providers at the Same Location NPPES 3

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

EVERGREEN PERSONAL SERVICES, LLC
Home Health
5980 S MAIN ST, SUITE 101
CLARKSTON, MI 48346
Oakland County (248) 620-8890
MADELINE P DETTY LLMSW
Social Worker (Clinical)
5980 S MAIN ST
CLARKSTON, MI 48346
Oakland County (248) 773-3903
SAVANNAH FERRANTE LLMSW
Social Worker (Clinical)
5980 S MAIN ST
CLARKSTON, MI 48346
Oakland County (248) 625-2970

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 Home Health Care LLC's NPI number?

The NPI number for Evergreen Home Health Care LLC is 1174526453. It was assigned to this organization in the NPPES registry on May 31, 2005.

Where is Evergreen Home Health Care LLC located?

Evergreen Home Health Care LLC is located at 5980 S Main St Suite 102, Clarkston, MI 48346. The listed phone number is (248) 620-1211.

What is Evergreen Home Health Care LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Evergreen Home Health Care LLC was last updated on August 22, 2020. 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.