Healthcare Provider Details

I. General information

NPI: 1942715305
Provider Name (Legal Business Name): EVERGREEN HOME CARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2017
Last Update Date: 09/12/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 WATER ST STE 200
MILFORD MA
01757-3015
US

IV. Provider business mailing address

115 WATER ST STE 200
MILFORD MA
01757-3015
US

V. Phone/Fax

Practice location:
  • Phone: 508-282-5020
  • Fax: 508-282-5021
Mailing address:
  • Phone: 508-282-5020
  • Fax: 508-282-5021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251F00000X
TaxonomyHome Infusion Agency
License Number
License Number State

VIII. Authorized Official

Name: RAJEEV AGARWAL
Title or Position: CEO AND OWNER
Credential:
Phone: 508-282-5020