Evergreen Home Care
NPI 1205503117 · Home Health Clinical Nurse Specialist · Cincinnati, OH
Enrolled with Medicare as Part a Provider - Home Health Agency · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Evergreen Home Care is a Home Health Clinical Nurse Specialist organization in Cincinnati, OH (NPI 1205503117).
Provider details
- NPI number
- 1205503117
- Entity type
- Organization
- Primary specialty
- Home Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Omar Farah, Ceo(614) 592-8678
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Evergreen Home Care
- Doing business as
- Evergreen Home Carr
Registry dates
- Enumerated
- 2021-08-27
- Last updated
- 2024-05-03
- Certified
- 2024-05-03
Frequently asked questions
- What is Evergreen Home Care's NPI number?
- Evergreen Home Care's National Provider Identifier (NPI) is 1205503117, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Home Care?
- Evergreen Home Care is classified in the NPPES registry as Home Health Clinical Nurse Specialist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Evergreen Home Care located?
- Evergreen Home Care's practice location on file with NPPES is 2852 Boudinot Ave Ste 202, Cincinnati, OH 45238-2461.
- What is Evergreen Home Care's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Home Care is (614) 592-8678.
- Does Evergreen Home Care accept Medicare?
- Evergreen Home Care is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Evergreen Home Care?
- The authorized official listed on Evergreen Home Care's NPPES record is Omar Farah, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Home Care's NPI active?
- Yes — Evergreen Home Care's NPI (1205503117) is active in the NPPES registry as of the last update on 2024-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.