Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

EVERGREEN HOME CARE
NPI 1205503117
Home Health in Cincinnati, OH

Q: What is Evergreen Home Care's NPI number?

The NPI number for Evergreen Home Care is 1205503117. It was assigned to this organization in the NPPES registry on August 27, 2021. The provider is doing business as evergreen home carr.

Q: What is Evergreen Home Care's specialty?

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

Active since August 27, 2021CLIA 36D2234565 · Waiver

2852 BOUDINOT AVE STE 202, CINCINNATI, OH 45238(614) 592-8678 Get Directions Write a Review

NPPES record last updated: October 28, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 28, 2026, May 3, 2024, Sep 16, 2021 and 1 more (4 updates tracked since 2021).

On this page

About Evergreen Home Care NPPES

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

EVERGREEN HOME CARE (NPI 1205503117) is a healthcare organization registered as a home health in Cincinnati, Ohio and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through April 21, 2028 and lists Omar Y Farah, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205503117

Entity TypeOrganization

Primary Taxonomy251E00000X

Legal Business NameEVERGREEN HOME CARE

Location Address2852 BOUDINOT AVE STE 202Cincinnati, OH 45238-2461

Mailing Address2852 Boudinot AveCincinnati, OH 45238-2461 · (513) 640-0221 · Fax (513) 866-2099

Phone(614) 592-8678

Organization SubpartNo

Authorized OfficialOmar Y FarahCeo · (513) 640-0221

Enumeration DateAugust 27, 2021

Last NPPES UpdateOctober 28, 20264 updates tracked since enumeration

NPPES CertifiedOctober 28, 2026

✔ NPI 1205503117 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies

Taxonomy Code251E00000X

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.

2852 BOUDINOT AVE STE 202, Cincinnati, OH 45238

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Other Names 2

Doing Business AsEvergreen Home Care

Doing Business AsEvergreen Home Carr

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D2234565

Evergreen Home Care · Cincinnati, OH

Active · expires Apr 21, 2028

CLIA Number36D2234565

Laboratory TypeHome Health Agency

Certificate Effective DateApril 22, 2026

Certificate Expiration DateApril 21, 2028

Laboratory DirectorOmar Y. Farah

Laboratory Phone(614) 592-8678

Laboratory LocationEvergreen Home Care2852 Boudinot Ave Suite 202, Cincinnati, OH 45238

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Evergreen Home Care (CMS certification number 369361), from CMS Care Compare.

Evergreen Home Care

Home health agency · Cincinnati, OH

CMS Certification Number369361

Medicare-Certified SinceJuly 20, 2023

Phone(614) 592-8678

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 Care's NPI number?

The NPI number for Evergreen Home Care is 1205503117. It was assigned to this organization in the NPPES registry on August 27, 2021. The provider is doing business as evergreen home carr.

Where is Evergreen Home Care located?

Evergreen Home Care is located at 2852 Boudinot Ave Ste 202, Cincinnati, OH 45238. The listed phone number is (614) 592-8678.

What is Evergreen Home Care's specialty?

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

Does Evergreen Home Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D2234565) is associated with this NPI, valid through April 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Evergreen Home Care a Medicare-certified home health agency?

Yes. Evergreen Home Care is a Medicare-certified home health agency, certified since July 20, 2023.

When was this NPI record last updated?

The NPPES record for Evergreen Home Care was last updated on October 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.