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EVERGREEN HOPE CENTER LLC
NPI 1417841065
Clinic/Center - Adolescent and Children Mental Health in Crystal, MN

Active since June 06, 2025
5701 KENTUCKY AVE N, CRYSTAL, MN 55428(763) 923-8817 Get Directions Write a Review

NPPES record last updated: June 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Hope Center Llc NPPES

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

EVERGREEN HOPE CENTER LLC (NPI 1417841065) is a healthcare organization registered as an adolescent and children mental health in Crystal, Minnesota and active in the NPI registry since June 2025. The organization lists Deo Shindano Deo, Owner, as its authorized official.

NPPES Registry Identity

NPI1417841065
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameEVERGREEN HOPE CENTER LLC
Location Address5701 KENTUCKY AVE NCrystal, MN 55428-3370
Mailing Address5701 Kentucky Ave NCrystal, MN 55428-3370
Phone(763) 923-8817
Organization SubpartNo
Authorized OfficialDeo Shindano DeoOwner · (763) 406-6111
Enumeration DateJune 6, 2025
NPPES CertifiedJune 6, 2025
✔ NPI 1417841065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X
5701 KENTUCKY AVE N, Crystal, MN 55428
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KINDRED GROUND, LLC
Counselor (Mental Health)
5701 KENTUCKY AVE N
CRYSTAL, MN 55428
Hennepin County (320) 300-0573
NAJMA MOHAMED ABDULAHI
Behavior Technician
5701 KENTUCKY AVE N
CRYSTAL, MN 55428
Hennepin County (612) 386-7144
QUALITY HEALTH CARE SERVICES
Home Health
5701 KENTUCKY AVE N, STE 198
CRYSTAL, MN 55428
Hennepin County (763) 533-1657
SHUKKI SALEH
Assistant Behavior Analyst
5701 KENTUCKY AVE N
CRYSTAL, MN 55428
Hennepin County (763) 568-7223
ABILITY CARE PARTNERS INCORPORATED
Home Health
5701 KENTUCKY AVE N, SUITE 119
CRYSTAL, MN 55428
Hennepin County (612) 868-3270
HANI I OMAR
Behavior Technician
5701 KENTUCKY AVE N
CRYSTAL, MN 55428
Hennepin County (612) 386-7144
CATHERINE AMAYA
Assistant Behavior Analyst
5701 KENTUCKY AVE N
MINNEAPOLIS, MN 55428
Hennepin County (763) 568-7223
SUPREME HEALTH CARE INC
Clinic/Center (Primary Care)
5701 KENTUCKY AVE N, SUITE 198
CRYSTAL, MN 55428
Hennepin County (763) 516-7236

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 Hope Center LLC's NPI number?

The NPI number for Evergreen Hope Center LLC is 1417841065. It was assigned to this organization in the NPPES registry on June 6, 2025.

Where is Evergreen Hope Center LLC located?

Evergreen Hope Center LLC is located at 5701 Kentucky Ave N, Crystal, MN 55428. The listed phone number is (763) 923-8817.

What is Evergreen Hope Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

When was this NPI record last updated?

The NPPES record for Evergreen Hope Center LLC was last updated on June 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.