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EVERGREEN COMMUNITY HOMES INC
NPI 1205589173
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Rosedale, MD

Active since February 01, 2022
13 BROADBRIDGE RD, ROSEDALE, MD 21237(443) 642-9933 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Community Homes Inc NPPES

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

EVERGREEN COMMUNITY HOMES INC (NPI 1205589173) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Rosedale, Maryland and active in the NPI registry since February 2022. The organization lists Ngozi Gloria Wilkens, Administrator, as its authorized official.

NPPES Registry Identity

NPI1205589173
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameEVERGREEN COMMUNITY HOMES INC
Location Address13 BROADBRIDGE RDRosedale, MD 21237-1558
Mailing Address13 Broadbridge RdRosedale, MD 21237-1558 · (443) 642-9933
Phone(443) 642-9933
Organization SubpartNo
Authorized OfficialNgozi Gloria WilkensAdministrator · (443) 642-9933
Enumeration DateFebruary 1, 2022
NPPES CertifiedFebruary 1, 2022
✔ NPI 1205589173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320900000X
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
13 BROADBRIDGE RD, Rosedale, MD 21237
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Other Names 1

Doing Business AsEvergreen Community Homes Inc

Other Providers at the Same Location NPPES 2

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

ENYINNAYA ANOZIE
Home Health Aide
13 BROADBRIDGE RD
ROSEDALE, MD 21237
Baltimore County (443) 772-6764
ADONIA RESIDENTIAL HEALTH SERVICE, LLC
In Home Supportive Care
13 BROADBRIDGE RD
ROSEDALE, MD 21237
Baltimore County (443) 642-9933

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 Homes Inc's NPI number?

The NPI number for Evergreen Community Homes Inc is 1205589173. It was assigned to this organization in the NPPES registry on February 1, 2022.

Where is Evergreen Community Homes Inc located?

Evergreen Community Homes Inc is located at 13 Broadbridge Rd, Rosedale, MD 21237. The listed phone number is (443) 642-9933.

What is Evergreen Community Homes Inc's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Evergreen Community Homes Inc was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.