OrganizationActive
Evergreen Home Care
NPI 1205503117 · Home Health Clinical Nurse Specialist · Cincinnati, OH
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
Practice location
2852 Boudinot Ave Ste 202
Cincinnati, OH 45238-2461
Phone: (614) 592-8678
Approximate (ZIP-level) locationGet directions
Mailing address
2852 Boudinot Ave
Cincinnati, OH 45238-2461
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.