EVERGREEN HEALTHCARE SERVICES, INC.
NPI 1215192117
Home Health in Houston, TX
NPI Status: Active since July 21, 2008
Contact Information
9788 CLAREWOOD DRIVE
SUITE 206
HOUSTON, TX
ZIP 77036
Phone: (713) 777-1991
Fax: (713) 777-1980
- Organization
- Home Health
- CLIA Number: 45D2234492
- CLIA Cert. Type: Waiver
- CLIA Exp. Date: 08-30-2025
About EVERGREEN HEALTHCARE SERVICES, INC.
Evergreen Healthcare Services, Inc. is a provider established in Houston, Texas operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1215192117 assigned on July 2008. The practitioner's primary taxonomy code is 251E00000X with license number 014674 (TX). The provider is registered as an organization and their NPI record was last updated February 2024. The authorized official of this NPI record is Mrs. Dolores Estacio Cu (Administrator / Cfo)
- NPI
- 1215192117
- Provider Name
- EVERGREEN HEALTHCARE SERVICES, INC.
- Entity Type
- Organization
- Location Address
- 9788 CLAREWOOD DRIVE SUITE 206 HOUSTON, TX 77036
- Location Phone
- (713) 777-1991
- Location Fax
- (713) 777-1980
- Mailing Address
- 9788 CLAREWOOD DRIVE SUITE 206 HOUSTON, TX 77036
- Mailing Phone
- (713) 777-1991
- Mailing Fax
- (713) 777-1980
- Is Sole Proprietor?
- N/A
- Is Organization Subpart?
- No
- Enumeration Date
- 07-21-2008
- Last Update Date
- 02-05-2024
- Code Navigator
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
Home Health
- Taxonomy Code
- 251E00000X
- Type
- Agencies
- License No.
- 014674
- License State
- TX
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 251C00000X | Agencies | Day Training, Developmentally Disabled Services | |
| 2 | 251E00000X | Agencies | Home Health | 012096 (TX) |
| 3 | 3747P1801X | Nursing Service Related Providers | Technician |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Medicare
Medicaid
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 001025442 | OTHER (01) | TX | STATE CONTRACT |
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
- 45D2234492
- Facility Type
- Pharmacy
- Certificate Effective Date
- August 31, 2023
- Certificate Expiration Date
- August 30, 2025
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Evergreen Healthcare Services, Inc. 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.
Reviews for EVERGREEN HEALTHCARE SERVICES, INC.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 1 | 5 | 1 | 9 | 2 | 1 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 2 | 5 | 2 | 9 | 4 | 1 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 2 + 5 + 2 + 9 + 4 + 1 + 2 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1215192117 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1215192117, enumerated in the NPI registry as an "organization" on July 21, 2008
The provider is located at 9788 Clarewood Drive Suite 206 Houston, Tx 77036 and the phone number is (713) 777-1991
This medical organization specializes in Home Health with taxonomy code 251E00000X
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 45D2234492 for a "pharmacy" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued 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..
This NPI record was last updated on July 21, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.