EVERGREEN HOME CARR
NPI 1205503117
Clinical Nurse Specialist - Home Health in Cincinnati, OH
NPI Status: Active since August 27, 2021
Contact Information
2852 BOUDINOT AVE STE 202
CINCINNATI, OH
ZIP 45238
Phone: (614) 592-8678
- Organization
- Clinical Nurse Specialist
- Home Health
- CLIA Number: 36D2234565
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 04-21-2028
About EVERGREEN HOME CARR
This page provides the complete NPI Profile along with additional information for Evergreen Home Carr, a provider established in Cincinnati, Ohio operating as a Clinical Nurse Specialist, focusing in home health . The healthcare provider is registered in the NPI registry with number 1205503117 assigned on August 2021. The practitioner's primary taxonomy code is 364SH0200X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Evergreen Home Carr operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Evergreen Home Carr. The authorized official of this NPI record is Omar Y Farah Manager (Ceo)
- NPI
- 1205503117
- Provider Legal Name
- EVERGREEN HOME CARE
- Other Organization Name
- EVERGREEN HOME CARR
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 2852 BOUDINOT AVE STE 202 CINCINNATI, OH 45238
- Location Phone
- (614) 592-8678
- Mailing Address
- 2852 BOUDINOT AVE CINCINNATI, OH 45238
- Mailing Phone
- (614) 592-8678
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-27-2021
- Last Update Date
- 05-03-2024
- Code Navigator
A Clinical Nurse Specialist (CNS) like Evergreen Home Carr is a type of advanced practice registered nurse (APRN) that provides direct patient care in various nursing specialties, including pediatrics or psychiatric-mental health. CNSs collaborate with other nurses and medical professionals to improve patient care quality. CNSs are often positioned in leadership roles where they may provide education and mentorship to other nursing personnel. Additionally, CNSs may also conduct research and advocate for certain healthcare policies.
According to the Home Health Compare program data, Evergreen Home Carr doesn't have a Quality of Patient Star Rating available at this time because the number of patient episodes for this measure is too small to report. To have a quality star rating computed, Home Health Agencies must have reported data for 5 of the 7 measures used in the Quality of Patient Care Star Ratings calculation. The seven measures used to calculate the quality star rating are: timely initiation of care, improvement in ambulation, bed transferring, bathing, shortness of breath, management of oral medications and relapse in acute care hospitalizations.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinical Nurse Specialist Home Health
- Taxonomy Code
- 364SH0200X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Nursing Home Compare Information
The Centers for Medicare and Medicaid Services publishes Home Health Compare quality of care data to provide consumers an easy way to compare "Medicare-certified" home health agencies throughout the nation. "Medicare-certified" home health agencies are approved by Medicare and meet certain federal health and safety requirements.
The Home Health Compare information helps consumers learn how well home health agencies care for their patients, how often each agency used best practices when caring for its patients and what patients said about their recent home health care experience.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 36D2234565
- Facility Type
- Home Health Agency
- Certificate Effective Date
- April 22, 2026
- Certificate Expiration Date
- April 21, 2028
- Laboratory Director
- OMAR Y. FARAH
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Evergreen Home Carr to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1205503117, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 43. The final step is to find the difference between that total and the next multiple of ten (50 - 43 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 43 is 50. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1205503117, enumerated as an "organization" on August 27, 2021.
The provider is located at 2852 BOUDINOT AVE STE 202 CINCINNATI, OH 45238 and the phone number is (614) 592-8678.
Clinical Nurse Specialist with taxonomy code 364SH0200X and a focus in Home Health.
