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EVERGREEN SUPPORTED LIVING, LLC
NPI 1235580820
In Home Supportive Care in Whitehall, OH

Active since June 25, 2016
5150 E MAIN ST STE 102, WHITEHALL, OH 43213(614) 205-9982 Get Directions Write a Review

NPPES record last updated: June 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Supported Living, Llc NPPES

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

EVERGREEN SUPPORTED LIVING, LLC (NPI 1235580820) is a healthcare organization registered as an in home supportive care in Whitehall, Ohio and active in the NPI registry since June 2016. The organization lists Anta Moore, Ceo, as its authorized official.

NPPES Registry Identity

NPI1235580820
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameEVERGREEN SUPPORTED LIVING, LLC
Location Address5150 E MAIN ST STE 102Whitehall, OH 43213-2441
Mailing Address5150 E Main St Ste 102Whitehall, OH 43213-2441 · (614) 205-9982
Phone(614) 205-9982
Organization SubpartNo
Authorized OfficialAnta MooreCeo · (614) 205-9982
Enumeration DateJune 25, 2016
✔ NPI 1235580820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
5150 E MAIN ST STE 102, Whitehall, OH 43213
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Other Providers at the Same Location NPPES

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

FIRST CARE INTEGRATED HEALTH LLC
Nurse Practitioner (Psychiatric/Mental Health)
5150 E MAIN ST STE 102
COLUMBUS, OH 43213
Franklin County (614) 226-5622

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 Supported Living, LLC's NPI number?

The NPI number for Evergreen Supported Living, LLC is 1235580820. It was assigned to this organization in the NPPES registry on June 25, 2016.

Where is Evergreen Supported Living, LLC located?

Evergreen Supported Living, LLC is located at 5150 E Main St Ste 102, Whitehall, OH 43213. The listed phone number is (614) 205-9982.

What is Evergreen Supported Living, LLC's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

When was this NPI record last updated?

The NPPES record for Evergreen Supported Living, LLC was last updated on June 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.