OrganizationActive
Evergreen Care Community LLC
NPI 1922969294 · In Home Supportive Care Agency · New Brighton, MN
Evergreen Care Community LLC is a In Home Supportive Care Agency organization in New Brighton, MN (NPI 1922969294).
Provider details
- NPI number
- 1922969294
- Entity type
- Organization
- Primary specialty
- In Home Supportive Care AgencyAgencies
- Organization subpart
- No
- Authorized official
- Siddisto Mumed, Owner(612) 222-0828
Specialties & taxonomies
Agencies
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
710 5th St Sw Apt 304
New Brighton, MN 55112-7777
Phone: (612) 222-0828
Street-level locationGet directions
Mailing address
710 5th St Sw Apt 304
New Brighton, MN 55112-7777
Registry dates
- Enumerated
- 2025-11-18
- Last updated
- 2025-11-18
- Certified
- 2025-11-18
Frequently asked questions
- What is Evergreen Care Community LLC's NPI number?
- Evergreen Care Community LLC's National Provider Identifier (NPI) is 1922969294, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Care Community LLC?
- Evergreen Care Community LLC is classified in the NPPES registry as In Home Supportive Care Agency (Agencies).
- Where is Evergreen Care Community LLC located?
- Evergreen Care Community LLC's practice location on file with NPPES is 710 5th St Sw Apt 304, New Brighton, MN 55112-7777.
- What is Evergreen Care Community LLC's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Care Community LLC is (612) 222-0828.
- Who is the authorized official for Evergreen Care Community LLC?
- The authorized official listed on Evergreen Care Community LLC's NPPES record is Siddisto Mumed, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Care Community LLC's NPI active?
- Yes — Evergreen Care Community LLC's NPI (1922969294) is active in the NPPES registry as of the last update on 2025-11-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.