Provider Demographics
NPI:1184225021
Name:EVERGREEN HC GROUP INC
Entity type:Organization
Organization Name:EVERGREEN HC GROUP INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:CHURCHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:989-370-3474
Mailing Address - Street 1:403 W MAIN ST STE A
Mailing Address - Street 2:
Mailing Address - City:GAYLORD
Mailing Address - State:MI
Mailing Address - Zip Code:49735-1887
Mailing Address - Country:US
Mailing Address - Phone:989-214-1114
Mailing Address - Fax:
Practice Address - Street 1:403 W MAIN ST STE A1
Practice Address - Street 2:
Practice Address - City:GAYLORD
Practice Address - State:MI
Practice Address - Zip Code:49735-1887
Practice Address - Country:US
Practice Address - Phone:989-214-1114
Practice Address - Fax:866-410-7843
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-06
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care