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Organization
EVERGREEN HOME HEALTHCARE, LLC.
Active
Organization
EVERGREEN HOME HEALTHCARE, LLC.
Active
Other names
Aveanna Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BUCKHALTER (CFO)
(470) 464-8000
Entity
Organization
Contact information
Practice address
2695 ROCKY MOUNTAIN AVE STE 100, LOVELAND, CO 80538-9074
(970) 530-0210
(970) 226-0290
Mailing address
400 INTERSTATE NORTH PKWY SE STE 1600, ATLANTA, GA 30339-5047
(470) 464-8000
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
96136260
—
CO
Enumeration date
09/26/2007
Last updated
01/27/2025
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