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EVERGREEN COURT
NPI 1912127192
Assisted Living Facility in Bellevue, WA

Active since April 27, 2007CLIA 50D2256205 · Waiver
900 - 124TH AVENUE N.E, BELLEVUE, WA 98005(425) 455-4333(425) 637-4860 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Court NPPES

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

EVERGREEN COURT (NPI 1912127192) is a healthcare organization registered as an assisted living facility in Bellevue, Washington and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Kate Quebe, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1912127192
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEVERGREEN COURT
Location Address900 - 124TH AVENUE N.EBellevue, WA 98005
Mailing Address900-124th Avenue N.eBellevue, WA 98005 · (425) 455-4333 · Fax (425) 637-4860
Phone(425) 455-4333
Fax(425) 637-4860
Organization SubpartNo
Authorized OfficialKate QuebeExecutive Director · (425) 455-4333
Enumeration DateApril 27, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1912127192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in WA · 1502
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
900 - 124TH AVENUE N.E, Bellevue, WA 98005
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2256205

Evergreen Court Retirement · Bellevue, WA
Active · expires Apr 4, 2028
CLIA Number50D2256205
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 22, 2022
Certificate Expiration DateApril 4, 2028
Laboratory DirectorMarie Mitchell-Crane
Laboratory Phone(425) 455-4333
Laboratory LocationEvergreen Court Retirement900 124th Ave NE, Bellevue, WA 98005
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Court's NPI number?

The NPI number for Evergreen Court is 1912127192. It was assigned to this organization in the NPPES registry on April 27, 2007.

Where is Evergreen Court located?

Evergreen Court is located at 900 - 124th Avenue N.E, Bellevue, WA 98005. The listed phone number is (425) 455-4333.

What is Evergreen Court's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Evergreen Court hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2256205) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Evergreen Court was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.