OrganizationActive
Evergreen Residential Care LLC
NPI 1487585725 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Nashville, TN
Provider details
- NPI number
- 1487585725
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kevine Kamariza, Nurse(919) 903-4906
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Practice location
550 Great Circle Rd
Nashville, TN 37228-3124
Phone: (919) 903-4906
Approximate (ZIP-level) locationGet directions
Mailing address
550 Great Circle Rd
Nashville, TN 37228-3124
Registry dates
- Enumerated
- 2026-05-26
- Last updated
- 2026-05-26
- Certified
- 2026-05-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.