Provider Demographics
NPI:1942715305
Name:EVERGREEN HOME CARE SERVICES, INC.
Entity Type:Organization
Organization Name:EVERGREEN HOME CARE SERVICES, INC.
Other - Org Name:BRIGHTSTAR CARE OF FRAMINGHAM/MILFORD/WORCESTER/SOUTHBRIDGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO AND OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAJEEV
Authorized Official - Middle Name:
Authorized Official - Last Name:AGARWAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:508-282-5020
Mailing Address - Street 1:115 WATER ST STE 200
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-3015
Mailing Address - Country:US
Mailing Address - Phone:508-282-5020
Mailing Address - Fax:508-282-5021
Practice Address - Street 1:115 WATER ST STE 200
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-3015
Practice Address - Country:US
Practice Address - Phone:508-282-5020
Practice Address - Fax:508-282-5021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-07
Last Update Date:2019-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion