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EVERGREEN TREATMENT SERVICES LLC
NPI 1447730890
Clinic/Center - Methadone in Havre De Grace, MD

Active since August 15, 2018
2120 PULASKI HWY, HAVRE DE GRACE, MD 21078(443) 760-1754 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 29, 2026, Sep 2, 2025, Aug 15, 2018 (3 updates tracked since 2018).

About Evergreen Treatment Services Llc NPPES

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

EVERGREEN TREATMENT SERVICES LLC (NPI 1447730890) is a healthcare organization registered as a methadone in Havre De Grace, Maryland and active in the NPI registry since August 2018. The organization lists Erica Marie Parker, Owner, as its authorized official.

NPPES Registry Identity

NPI1447730890
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameEVERGREEN TREATMENT SERVICES LLC
Location Address2120 PULASKI HWYHavre De Grace, MD 21078-2127
Mailing Address7 Guinevere CtRosedale, MD 21237-4030 · (443) 760-1754
Phone(443) 760-1754
Organization SubpartNo
Authorized OfficialErica Marie ParkerOwner · (410) 273-9300
Enumeration DateAugust 15, 2018
Last NPPES UpdateMay 29, 20263 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
✔ NPI 1447730890 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
2120 PULASKI HWY, Havre De Grace, MD 21078
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Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Evergreen Treatment Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateMarylandEnrollment IDO20211014000938Non-DME Part B · Opioid Treatment Program (OTP)Due dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
569 services21 patients
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure G2078
This service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.
64 services11 patients

Other Providers at the Same Location NPPES

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

EVERGREEN TREATMENT SERVICES LLC
Clinic/Center (Adult Mental Health)
2120 PULASKI HWY
HAVRE DE GRACE, MD 21078
Harford County (410) 273-9300

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 Treatment Services LLC's NPI number?

The NPI number for Evergreen Treatment Services LLC is 1447730890. It was assigned to this organization in the NPPES registry on August 15, 2018.

Where is Evergreen Treatment Services LLC located?

Evergreen Treatment Services LLC is located at 2120 Pulaski Hwy, Havre De Grace, MD 21078. The listed phone number is (443) 760-1754.

What is Evergreen Treatment Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Is Evergreen Treatment Services LLC enrolled in Medicare?

Yes. Evergreen Treatment Services LLC is registered in the Medicare PECOS enrollment system.

When is Evergreen Treatment Services LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Maryland, Opioid Treatment Program (OTP)) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Evergreen Treatment Services LLC was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.