Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
EVERGREEN SENIOR CARE SERVICE LLC
Active
Organization
EVERGREEN SENIOR CARE SERVICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAWEKE S GEBRESELASSIE (OWNER)
(253) 856-2790
Entity
Organization
Contact information
Practice address
9701 S 200TH ST, KENT, WA 98031-1442
(253) 856-2790
(253) 981-3156
Mailing address
9701 S 200TH ST, KENT, WA 98031-1442
(253) 856-2790
(253) 981-3156
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
03/01/2025
Last updated
03/01/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers