# EVERGREEN HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053038943
- **Authorized official:** KULDEEP BHATT MHA, BSN, RN (DIRECTOR OF NURSING/ OWNER)
- **Authorized official phone:** (864) 340-0442

## Contact information

- **Practice address:** 7 PROGRESS ST STE 101A, EDISON, NJ 08820-1102
- **Practice address phone:** (864) 340-0442
- **Mailing address:** 255 PRINCETON RD, PISCATAWAY, NJ 08854-3033
- **Mailing address phone:** (864) 340-0442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/21/2022
- **Last updated:** 10/21/2022