Healthcare Provider Details

I. General information

NPI: 1619809845
Provider Name (Legal Business Name): EVERGREEN CARE OPTIONS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9317 ALLOWAY DR
HAGERSTOWN MD
21740-2093
US

IV. Provider business mailing address

9317 ALLOWAY DR
HAGERSTOWN MD
21740-2093
US

V. Phone/Fax

Practice location:
  • Phone: 717-895-9623
  • Fax: 717-897-8970
Mailing address:
  • Phone: 717-895-9623
  • Fax: 717-897-8970

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: EVELYN MENSAH
Title or Position: MANAGING DIRECTOR
Credential: DNP, CRNP, PMHNP-BC
Phone: 717-895-9623