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General NPI Number Information
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NPI Number | 1487506473
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Entity Type | Organization
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Legal Business Name | EVERGREEN CARE & RESIDENCE
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Dates
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Enumeration Date | 02/11/2026
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Last Update Date | 02/20/2026
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Provider Practice Location Address
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Address Line | 8407 OAKLAND HEIGHTS LN
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City | RICHMOND
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State | TX
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Zip | 77407-1061
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Country | US
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Telephone | 323-356-6566
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Fax |
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Provider Business Mailing Address
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Address Line | 8407 OAKLAND HEIGHTS LN
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City | RICHMOND
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State | TX
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Zip | 77407-1061
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Country | US
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Telephone | 323-356-6566
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAULIN NDUKWO
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Credential |
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Telephone | 323-356-6566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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