Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evergreen Home Care, LLC

Organization Mental Illness Community Based Residential Treatment Facility · NPI 1295328110

Evergreen Home Care, LLC is a Mental Illness Community Based Residential Treatment Facility in Phoenix, Arizona. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2529 W Darrel Rd
Phoenix, AZ 85041-6457
Phone: (619) 882-0072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Illness Community Based Residential Treatment Facility (primary) Taxonomy 320800000X

Record details

NPI number1295328110
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mohamed Dahir — Ceo · (619) 882-0072
NPI enumeratedFebruary 11, 2021
Last updated in NPPESFebruary 11, 2021
Certification dateFebruary 11, 2021
Mailing address2529 W Darrel Rd, Phoenix, AZ 85041-6457

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