OrganizationActive
Evergreen Senior Care Service LLC
NPI 1992502595 · Adult Care Home Facility · Kent, WA
Evergreen Senior Care Service LLC is a Adult Care Home Facility organization in Kent, WA (NPI 1992502595).
Provider details
- NPI number
- 1992502595
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Taweke Gebreselassie, Owner(253) 856-2790
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
9701 S 200th St
Kent, WA 98031-1442
Phone: (253) 856-2790
Fax: (253) 981-3156
Street-level locationGet directions
Mailing address
9701 S 200th St
Kent, WA 98031-1442
Registry dates
- Enumerated
- 2025-03-01
- Last updated
- 2025-03-01
- Certified
- 2025-03-01
Frequently asked questions
- What is Evergreen Senior Care Service LLC's NPI number?
- Evergreen Senior Care Service LLC's National Provider Identifier (NPI) is 1992502595, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Senior Care Service LLC?
- Evergreen Senior Care Service LLC is classified in the NPPES registry as Adult Care Home Facility (Nursing & Custodial Care Facilities).
- Where is Evergreen Senior Care Service LLC located?
- Evergreen Senior Care Service LLC's practice location on file with NPPES is 9701 S 200th St, Kent, WA 98031-1442.
- What is Evergreen Senior Care Service LLC's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Senior Care Service LLC is (253) 856-2790.
- Who is the authorized official for Evergreen Senior Care Service LLC?
- The authorized official listed on Evergreen Senior Care Service LLC's NPPES record is Taweke Gebreselassie, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Senior Care Service LLC's NPI active?
- Yes — Evergreen Senior Care Service LLC's NPI (1992502595) is active in the NPPES registry as of the last update on 2025-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.