Organization
EVERGREEN CARE COMMUNITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIDDISTO MOHAMED MUMED (OWNER)
(612) 222-0828
Entity
Organization
Contact information
Practice address
710 5TH ST SW APT 304, NEW BRIGHTON, MN 55112-7777
(612) 222-0828
Mailing address
710 5TH ST SW APT 304, NEW BRIGHTON, MN 55112-7777
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us