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EVERGREEN HOME HEALTHCARE, LLC
NPI 1285290510
In Home Supportive Care in Westminster, CO

Active since May 13, 2019CLIA 06D2034295 · Waiver
1235 W 124TH AVE STE 102, WESTMINSTER, CO 80234(303) 920-0818(720) 872-8441 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 15, 2021, Nov 12, 2020, May 13, 2019 (3 updates tracked since 2019).

About Evergreen Home Healthcare, Llc NPPES

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

EVERGREEN HOME HEALTHCARE, LLC (NPI 1285290510), doing business as Aveanna Healthcare, is a healthcare organization registered as an in home supportive care in Westminster, Colorado and active in the NPI registry since May 2019. The organization holds a CLIA Waiver certificate valid through December 19, 2027 and lists Matthew Buckhalter, Cfo, as its authorized official.

NPPES Registry Identity

NPI1285290510
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameEVERGREEN HOME HEALTHCARE, LLC
Location Address1235 W 124TH AVE STE 102Westminster, CO 80234-1725
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (470) 464-8000
Phone(303) 920-0818
Fax(720) 872-8441
Organization SubpartNo
Authorized OfficialMatthew BuckhalterCfo · (470) 464-8000
Enumeration DateMay 13, 2019
Last NPPES UpdateJanuary 27, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 27, 2025
✔ NPI 1285290510 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.
1235 W 124TH AVE STE 102, Westminster, CO 80234
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Other Names 1

Doing Business AsAveanna Healthcare

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 06D2034295

Evergreen Home Healthcare, LLC Dba - Aveanna Healthcare · Westminster, CO
Active · expires Dec 19, 2027
CLIA Number06D2034295
Laboratory TypeHome Health Agency
Certificate Effective DateDecember 20, 2025
Certificate Expiration DateDecember 19, 2027
Laboratory DirectorKristen Strohl
Laboratory Phone(303) 920-0818
Laboratory LocationEvergreen Home Healthcare, LLC Dba - Aveanna Healthcare1235 West 124th Ave, Suite 102, Westminster, CO 80234
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

EVERGREEN HOME HEALTHCARE, LLC
Home Health
1235 W 124TH AVE STE 102
WESTMINSTER, CO 80234
Adams County (303) 920-0818
EVERGREEN HOME HEALTHCARE IHSS, LLC.
Home Health
1235 W 124TH AVE STE 102
WESTMINSTER, CO 80234
Adams County (970) 310-7457

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 Healthcare, LLC's NPI number?

The NPI number for Evergreen Home Healthcare, LLC is 1285290510. It was assigned to this organization in the NPPES registry on May 13, 2019. The provider is doing business as Aveanna Healthcare.

Where is Evergreen Home Healthcare, LLC located?

Evergreen Home Healthcare, LLC is located at 1235 W 124th Ave Ste 102, Westminster, CO 80234. The listed phone number is (303) 920-0818.

What is Evergreen Home Healthcare, LLC's specialty?

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

Does Evergreen Home Healthcare, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 06D2034295) is associated with this NPI, valid through December 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Evergreen Home Healthcare, LLC was last updated on January 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.