EVERGREEN HOME ASSISTANCE LLC
NPI 1386480515
In Home Supportive Care in West Mifflin, PA

Active since July 08, 2024
4302 GREENSPRINGS AVE, WEST MIFFLIN, PA 15122(631) 636-8767 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Home Assistance Llc NPPES

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

EVERGREEN HOME ASSISTANCE LLC (NPI 1386480515), doing business as Homewell Care Services Pa261, is a healthcare organization registered as an in home supportive care in West Mifflin, Pennsylvania and active in the NPI registry since July 2024. The organization lists Theophilia Chinelo Agusibe-akamobi, Owner /ceo, as its authorized official.

NPPES Registry Identity

NPI1386480515
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameEVERGREEN HOME ASSISTANCE LLC
Location Address4302 GREENSPRINGS AVEWest Mifflin, PA 15122-1765
Mailing Address4302 Greensprings AveWest Mifflin, PA 15122-1765 · (631) 636-8767
Organization SubpartNo
Authorized OfficialTheophilia Chinelo Agusibe-akamobiOwner /ceo · (631) 636-8767
Enumeration DateJuly 8, 2024
Last NPPES UpdateJuly 10, 2024
NPPES CertifiedJuly 10, 2024
NPI 1386480515 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.
4302 GREENSPRINGS AVE, West Mifflin, PA 15122

Other Names 1

Doing Business AsHomewell Care Services Pa261

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 Assistance LLC's NPI number?

The NPI number for Evergreen Home Assistance LLC is 1386480515. It was assigned to this organization in the NPPES registry on July 8, 2024. The provider is doing business as HomeWell Care Services PA261.

Where is Evergreen Home Assistance LLC located?

Evergreen Home Assistance LLC is located at 4302 Greensprings Ave, West Mifflin, PA 15122. The listed phone number is (631) 636-8767.

What is Evergreen Home Assistance 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 Home Assistance LLC was last updated on July 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.