MEDICARE: EVERGREEN HEALTH CONCEPTS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1891649034
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EVERGREEN HEALTH CONCEPTS, LLC

Provider Business Mailing Address
First Line	:	8732 QUARTERS LAKE RD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-2174
Country	:	US
Telephone Number	:	225-810-0261
Fax Number	:	225-964-5979

Provider Business Practice Location Address
First Line	:	8732 QUARTERS LAKE RD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-2174
Country	:	US
Telephone Number	:	225-810-0261
Fax Number	:	225-964-5979

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	BRANDON TRIGGS
Credential	:
Telephone Number	:	225-810-0261

Provider Enumeration Date	:	02/24/2026
Last Update Date	:	05/19/2026

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