# EVERGREEN CARE SERVICES LLC

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

## Provider details

- **NPI number:** 1255260600
- **Authorized official:** RIZWAN A SHERDIL (OWNER)
- **Authorized official phone:** (812) 247-5977

## Contact information

- **Practice address:** 11004A DOORSTONE DR, LATHAM, NY 12110-3770
- **Practice address phone:** (307) 289-2158
- **Mailing address:** 11004A DOORSTONE DR, LATHAM, NY 12110-3770
- **Mailing address phone:** (812) 247-2222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332BC3200X | Customized Equipment (DME) | — | — | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/13/2026
- **Last updated:** 09/03/2026