Organization · Type 2 NPI
Evergreen Haven LLC
Assisted Living Facility · Baxter Springs, KS
NPI number
1104616002
Active
Practice location
445 E 10th St
Baxter Springs, KS 66713-1614
Fax (620) 304-2109
Mailing address
PO Box 92
Racine, MO 64858-0092
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
6 other providers at this address
- Burden Medical Clinic LLCClinic/Center Baxter Springs, KS NPI 1366680126
- Evergreen Living LLCAdult Care Home Facility Baxter Springs, KS NPI 1821897992
- Legacy LivingAdult Care Home Facility Baxter Springs, KS NPI 1063925303
- St. John's Medical GroupRural Health Clinic/Center Baxter Springs, KS NPI 1962438457
- Crystal Marie Taylor, ARNPFamily Nurse Practitioner Baxter Springs, KS NPI 1134437411
- Tyson L. Burden, MDInternal Medicine Physician Baxter Springs, KS NPI 1588601843
Other assisted living facility providers in Baxter Springs
About NPI 1104616002
Evergreen Haven LLC's National Provider Identifier is 1104616002, issued on May 12, 2025. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Baxter Springs, KS. The record was last updated on May 12, 2025.