EVERGREEN GROUP HOME, LLC is a mental health counselor in Urbana, MO. EVERGREEN GROUP HOME, LLC NPI is 1871638999. The provider is registered as an organization entity type and is a single specialty group. The provider Is Doing Business As Evergreen Group Home.
The provider's business location address is:
27 HOPPER TRL URBANA, MO ZIP 65767-234 Phone: (417) 722-4416 Fax: (417) 722-4417
The provider's authorized official is Gary D Boggs . The authorized official title is President and has the following contact phone number (417) 722-4416.
The enumeration date for this NPI number is 2/20/2007 and was last updated on 8/22/2020.
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:
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
NPI Synchronization or Removal
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.
