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EVERGREEN HOME CARE, LLC
NPI 1295328110
Community Based Residential Treatment Facility, Mental Illness in Phoenix, AZ

Active since February 11, 2021
2529 W DARREL RD, PHOENIX, AZ 85041(619) 882-0072 Get Directions Write a Review

NPPES record last updated: February 11, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Home Care, Llc NPPES

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

EVERGREEN HOME CARE, LLC (NPI 1295328110) is a healthcare organization registered as a community based residential treatment facility, mental illness in Phoenix, Arizona and active in the NPI registry since February 2021. The organization lists Mohamed Dahir, Ceo, as its authorized official.

NPPES Registry Identity

NPI1295328110
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameEVERGREEN HOME CARE, LLC
Location Address2529 W DARREL RDPhoenix, AZ 85041-6457
Mailing Address2529 W Darrel RdPhoenix, AZ 85041-6457 · (619) 882-0072
Phone(619) 882-0072
Organization SubpartNo
Authorized OfficialMohamed DahirCeo · (619) 882-0072
Enumeration DateFebruary 11, 2021
NPPES CertifiedFebruary 11, 2021
✔ NPI 1295328110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
2529 W DARREL RD, Phoenix, AZ 85041
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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 Home Care, LLC's NPI number?

The NPI number for Evergreen Home Care, LLC is 1295328110. It was assigned to this organization in the NPPES registry on February 11, 2021.

Where is Evergreen Home Care, LLC located?

Evergreen Home Care, LLC is located at 2529 W Darrel Rd, Phoenix, AZ 85041. The listed phone number is (619) 882-0072.

What is Evergreen Home Care, LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Evergreen Home Care, LLC was last updated on February 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.