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EVERGREEN COMMUNITY & SUPPORT SERVICES LLC
NPI 1346068731
Case Manager/Care Coordinator in Bellingham, WA

Active since October 02, 2024
4123 STONECREST CT # 102, BELLINGHAM, WA 98226(954) 464-0256 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Evergreen Community & Support Services Llc NPPES

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

EVERGREEN COMMUNITY & SUPPORT SERVICES LLC (NPI 1346068731) is a healthcare organization registered as a case manager/care coordinator in Bellingham, Washington and active in the NPI registry since October 2024. The organization lists Costan Jaya Balgobin, Co-owner, as its authorized official.

NPPES Registry Identity

NPI1346068731
Entity TypeOrganization
Primary Taxonomy171M00000X
Legal Business NameEVERGREEN COMMUNITY & SUPPORT SERVICES LLC
Location Address4123 STONECREST CT # 102Bellingham, WA 98226-7762
Mailing AddressPo Box 333Sedro Woolley, WA 98284-0333
Phone(954) 464-0256
Organization SubpartNo
Authorized OfficialCostan Jaya BalgobinCo-owner · (954) 464-0256
Enumeration DateOctober 2, 2024
NPPES CertifiedOctober 2, 2024
✔ NPI 1346068731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
4123 STONECREST CT # 102, Bellingham, WA 98226
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Community & Support Services LLC's NPI number?

The NPI number for Evergreen Community & Support Services LLC is 1346068731. It was assigned to this organization in the NPPES registry on October 2, 2024.

Where is Evergreen Community & Support Services LLC located?

Evergreen Community & Support Services LLC is located at 4123 Stonecrest Ct # 102, Bellingham, WA 98226. The listed phone number is (954) 464-0256.

What is Evergreen Community & Support Services LLC's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Evergreen Community & Support Services LLC was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.