Healthcare Provider Details

I. General information

NPI: 1053230425
Provider Name (Legal Business Name): EVERGREEN COMPASS CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2026
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27W300 WARRENVILLE RD STE 301
WARRENVILLE IL
60555-3901
US

IV. Provider business mailing address

PO BOX 10
WARRENVILLE IL
60555-0010
US

V. Phone/Fax

Practice location:
  • Phone: 630-870-6453
  • Fax:
Mailing address:
  • Phone: 630-870-6453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code342000000X
TaxonomyTransportation Network Company
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: ERIKA WADE
Title or Position: FOUNDER & CEO
Credential:
Phone: 630-870-6453