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

Evergreen Senior Care Service LLC

Organization Adult Care Home Facility · NPI 1992502595

Evergreen Senior Care Service LLC is an Adult Care Home Facility in Kent, Washington. Registered with an NPI since 2025.

In the registry since
2025
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

9701 S 200th St
Kent, WA 98031-1442
Phone: (253) 856-2790
Fax: (253) 981-3156
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X

Record details

NPI number1992502595
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Taweke Gebreselassie — Owner · (253) 856-2790
NPI enumeratedMarch 1, 2025
Last updated in NPPESMarch 1, 2025
Certification dateMarch 1, 2025
Mailing address9701 S 200th St, Kent, WA 98031-1442

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