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EVERGREEN RECOVERY LLC
NPI 1245028604
Substance Abuse Rehabilitation Facility in Portland, ME

Active since April 28, 2025
12 RANDALL ST, PORTLAND, ME 04103(781) 469-6505 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Recovery Llc NPPES

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

EVERGREEN RECOVERY LLC (NPI 1245028604) is a healthcare organization registered as a substance abuse rehabilitation facility in Portland, Maine and active in the NPI registry since April 2025. The organization lists Amanda Terranova, Program Coordinator, as its authorized official.

NPPES Registry Identity

NPI1245028604
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameEVERGREEN RECOVERY LLC
Location Address12 RANDALL STPortland, ME 04103-5116
Mailing Address22 Redlon RdPortland, ME 04102-2218
Phone(781) 469-6505
Organization SubpartNo
Authorized OfficialAmanda TerranovaProgram Coordinator · (617) 291-9224
Enumeration DateApril 28, 2025
NPPES CertifiedApril 27, 2025
✔ NPI 1245028604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
12 RANDALL ST, Portland, ME 04103
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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 Recovery LLC's NPI number?

The NPI number for Evergreen Recovery LLC is 1245028604. It was assigned to this organization in the NPPES registry on April 28, 2025.

Where is Evergreen Recovery LLC located?

Evergreen Recovery LLC is located at 12 Randall St, Portland, ME 04103. The listed phone number is (781) 469-6505.

What is Evergreen Recovery LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

When was this NPI record last updated?

The NPPES record for Evergreen Recovery LLC was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.