Evergreen Haven Llc
Assisted Living Facility
About Evergreen Haven Llc
Evergreen Haven Llc is a healthcare organization providing Assisted Living Facility services, registered under National Provider Identifier (NPI) number 1104616002. The authorized official for Evergreen Haven Llc is LARRY HIGGINBOTHAM.
The organization is headquartered at 445 E 10TH ST, Baxter Springs, Kansas 66713. The main office can be reached at (620) 304-2108. Evergreen Haven Llc has been NPI-registered since 2025.
Locations & Contact
Primary Location
- Address
- 445 E 10TH ST
- City
- Baxter Springs
- State
- Kansas
- ZIP
- 66713-1614
- Phone
- (620) 304-2108
- Fax
- (620) 304-2109
Authorized Official
- Name
- LARRY HIGGINBOTHAM
Mailing Address
- Address
- PO BOX 92
- City
- RACINE
- State
- MO
- ZIP
- 648580092
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Services & Taxonomy
Specialty & Classification
- Primary Specialty
- Assisted Living Facility
- Classification
- Assisted Living Facility
- Taxonomy Code
- 310400000X
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Evergreen Haven Llc's NPI number?
What does Evergreen Haven Llc specialize in?
Where is Evergreen Haven Llc located?
Does Evergreen Haven Llc accept Medicare?
Does Evergreen Haven Llc offer telehealth or virtual visits?
What is a Type 2 NPI (Organization)?
A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Evergreen Haven Llc holds NPI 1104616002, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.