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EVERGREEN SENIOR CARE SERVICE LLC
NPI 1992502595
Custodial Care Facility - Adult Care Home in Kent, WA

Active since March 01, 2025
9701 S 200TH ST, KENT, WA 98031(253) 856-2790(253) 981-3156 Get Directions Write a Review

NPPES record last updated: March 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Evergreen Senior Care Service Llc NPPES

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

EVERGREEN SENIOR CARE SERVICE LLC (NPI 1992502595) is a healthcare organization registered as an adult care home in Kent, Washington and active in the NPI registry since March 2025. The organization lists Taweke S Gebreselassie, Owner, as its authorized official.

NPPES Registry Identity

NPI1992502595
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameEVERGREEN SENIOR CARE SERVICE LLC
Location Address9701 S 200TH STKent, WA 98031-1442
Mailing Address9701 S 200th StKent, WA 98031-1442 · (253) 856-2790 · Fax (253) 981-3156
Phone(253) 856-2790
Fax(253) 981-3156
Organization SubpartNo
Authorized OfficialTaweke S GebreselassieOwner · (253) 856-2790
Enumeration DateMarch 1, 2025
NPPES CertifiedMarch 1, 2025
✔ NPI 1992502595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
9701 S 200TH ST, Kent, WA 98031
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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 Senior Care Service LLC's NPI number?

The NPI number for Evergreen Senior Care Service LLC is 1992502595. It was assigned to this organization in the NPPES registry on March 1, 2025.

Where is Evergreen Senior Care Service LLC located?

Evergreen Senior Care Service LLC is located at 9701 S 200th St, Kent, WA 98031. The listed phone number is (253) 856-2790.

What is Evergreen Senior Care Service LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Evergreen Senior Care Service LLC was last updated on March 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.