Healthcare Provider Details

I. General information

NPI: 1225947385
Provider Name (Legal Business Name): EVERGREEN CARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2312 210TH ST SE
BOTHELL WA
98021-4206
US

IV. Provider business mailing address

2312 210TH ST SE
BOTHELL WA
98021-4206
US

V. Phone/Fax

Practice location:
  • Phone: 425-770-2516
  • Fax:
Mailing address:
  • Phone: 425-770-2516
  • Fax:

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: LAURA C ROMANSCHI
Title or Position: ADMINISTRATOR
Credential:
Phone: 425-770-2516