EVERGREEN RECOVERY, LLC
NPI 1487463956
Registered Nurse - Psychiatric/Mental Health, Adult in Randallstown, MD

NPI Status: Active since December 30, 2024

Contact Information

9637 LIBERTY RD STE G
RANDALLSTOWN, MD
ZIP 21133
Phone: (443) 413-0468

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  • Organization
  • Registered Nurse
  • Psychiatric/Mental Health, Adult

About EVERGREEN RECOVERY, LLC

This page provides the complete NPI Profile along with additional information for Evergreen Recovery, Llc, a provider established in Randallstown, Maryland operating as a Registered Nurse, focusing in psychiatric/mental health, adult . The healthcare provider is registered in the NPI registry with number 1487463956 assigned on December 2024. The practitioner's primary taxonomy code is 163WP0809X. The provider is registered as an organization and their NPI record was last updated one year ago. Evergreen Recovery, Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Shanazar Beasley (Ceo)

NPI
1487463956
Provider Name
EVERGREEN RECOVERY, LLC
Entity Type
Organization
Location Address
9637 LIBERTY RD STE G RANDALLSTOWN, MD 21133
Location Phone
(443) 413-0468
Mailing Address
9637 LIBERTY RD STE G RANDALLSTOWN, MD 21133
Mailing Phone
(443) 413-0468
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-30-2024
Last Update Date
12-30-2024
Code Navigator

A registered nurse (RN) like Evergreen Recovery, Llc coordinates and provides patient care and educates patients about various health conditions. Registered nurses give advice and emotional support to patients and their families. The typical duties of a registered nurse include: assessing patient conditions, record medical histories and symptoms, observe patients and record the observations, administer medicines and treatments, consult and collaborate with doctors, operate and monitor medical equipment, teach patients and families how to manage injuries or illnesses, etc.

Registered nurses typically work as part of a team with physicians and other healthcare professionals. In some medical teams registered nurses supervise nursing assistants, licensed practical nurses, and home health aides.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Registered Nurse Psychiatric/Mental Health, Adult

Taxonomy Code
163WP0809X
Type
Nursing Service Providers

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHANAZAR BEASLEY

Authorized Official Title
CEO
Authorized Official Phone
(443) 413-0468

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1487463956, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
7
Unchanged
Pos 5
4
Doubled → 8
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 4 → 8 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 6 + 7 + 8 + 6 + 6 + 9 + 1 + 0 + 24 = 74

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1487463956.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinic/Center (Rehabilitation, Substance Use Disorder)
9637 LIBERTY RD STE G
RANDALLSTOWN, MD 21133
Clinic/Center (Mental Health (Including Community Mental Health Center))
9637 LIBERTY RD STE G
RANDALLSTOWN, MD 21133

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1487463956, enumerated as an "organization" on December 30, 2024.

The provider is located at 9637 LIBERTY RD STE G RANDALLSTOWN, MD 21133 and the phone number is (443) 413-0468.

Registered Nurse with taxonomy code 163WP0809X and a focus in Psychiatric/Mental Health, Adult.