EVERGREEN HOMECARE LLC NPI 1093593048

NPI Information

  • NPI: 1093593048
  • Provider Name: EVERGREEN HOMECARE LLC
  • Classification: Nursing Care - 251J00000X
  • Entity Type: Organization
  • Address: 8156 RAINWATER CIR
    MANASSAS, VA
    ZIP 20111
  • Phone: (267) 990-3019

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NPI Details

EVERGREEN HOMECARE LLC is a nursing care in Manassas, VA. The provider is a Nursing Care Agency is an entity that provides skilled nursing care through the services of a Registered Nurse (RN) or a Licensed Practical Nurse (LPN), by employees, contracted individuals, or via a registry, in a variety of settings. The agency may engage in providing private duty nursing and/or staffing services. EVERGREEN HOMECARE LLC NPI is 1093593048. The provider is registered as an organization entity type.

The provider's business location address is:

8156 RAINWATER CIR
MANASSAS, VA
ZIP 20111-231
Phone: (267) 990-3019

The provider's authorized official is Joyce Boafo .
The authorized official title is Owner and has the following contact phone number (833) 711-4299.

The enumeration date for this NPI number is 9/20/2023 and was last updated on 11/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251E00000XHome HealthNo
2251J00000XNursing CareYes
33747P1801XTechnicianPersonal Care AttendantNo
4385H00000XRespite CareNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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