EVERGREEN SUPPORTIVE CARE, LLC
NPI 1639917313
Clinic/Center - Mental Health (Including Community Mental Health Center) in Saint Louis, MO

Active since July 17, 2024
7244 HENDERSON AVE, SAINT LOUIS, MO 63121(314) 532-5583(314) 200-2682 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Evergreen Supportive Care, Llc NPPES

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

EVERGREEN SUPPORTIVE CARE, LLC (NPI 1639917313), doing business as Evergreen Supportive Care, is a healthcare organization registered as a mental health (including community mental health center) in Saint Louis, Missouri and active in the NPI registry since July 2024. The organization lists Bernadette Marie Brown, President, as its authorized official.

NPPES Registry Identity

NPI1639917313
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameEVERGREEN SUPPORTIVE CARE, LLC
Location Address7244 HENDERSON AVESaint Louis, MO 63121-5018
Mailing Address7244 Henderson AveSaint Louis, MO 63121-5018 · (314) 532-5583 · Fax (314) 200-2682
Fax(314) 200-2682
Organization SubpartNo
Authorized OfficialBernadette Marie BrownPresident · (314) 532-5583
Enumeration DateJuly 17, 2024
NPPES CertifiedJuly 17, 2024
NPI 1639917313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
7244 HENDERSON AVE, Saint Louis, MO 63121

Other Names 1

Doing Business AsEvergreen Supportive Care

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 Supportive Care, LLC's NPI number?

The NPI number for Evergreen Supportive Care, LLC is 1639917313. It was assigned to this organization in the NPPES registry on July 17, 2024. The provider is doing business as Evergreen Supportive Care.

Where is Evergreen Supportive Care, LLC located?

Evergreen Supportive Care, LLC is located at 7244 Henderson Ave, Saint Louis, MO 63121. The listed phone number is (314) 532-5583.

What is Evergreen Supportive Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Evergreen Supportive Care, LLC was last updated on July 17, 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.