OrganizationActive
Evergreen Pathways Home LLC
NPI 1902615966 · Health Maintenance Organization · Grove City, OH
Provider details
- NPI number
- 1902615966
- Entity type
- Organization
- Primary specialty
- Health Maintenance OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Laila Mohamed, Ceo(614) 230-7005
Specialties & taxonomies
Managed Care Organizations
Practice location
3500 Grove City Rd
Grove City, OH 43123-2598
Phone: (614) 230-7005
Approximate (ZIP-level) locationGet directions
Mailing address
3500 Grove City Rd
Grove City, OH 43123-2598
Registry dates
- Enumerated
- 2025-01-04
- Last updated
- 2025-04-28
- Certified
- 2025-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.