DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EVERGREEN HAVEN LLC

Active Organization

EVERGREEN HAVEN LLC is a Assisted Living Facility organization located in BAXTER SPRINGS, Kansas. NPI 1104616002 is currently active in the NPPES registry. Verify at CMS.

Assisted Living Facility · BAXTER SPRINGS, KS

Registration Details

NPI Number
1104616002
Provider Type
Organization
NPI Issued
May 12, 2025 (1.1128353051175 yrs)
Last Updated
May 12, 2025

Practice Information

Address
445 E 10TH ST
BAXTER SPRINGS, KS, 667131614
Browse KS providers · Browse ZIP 66713
Phone
6203042108
Fax
6203042109
Primary Specialty
Assisted Living Facility
310400000X

Other Assisted Living Facility Organizations in BAXTER SPRINGS, KS

Name NPI
COUNTRY ANGELS 1265791347
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.