EVERGREEN RECOVERY CENTERS – NPI #1093998312
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

EVERGREEN RECOVERY CENTERS is a substance abuse rehabilitation facility located in EVERETT, WA. NPPES has assigned the NPI number 1093998312 to EVERGREEN RECOVERY CENTERS on December 10, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was last updated on May 16, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EVERGREEN RECOVERY CENTERS below.

NPI Profile for
EVERGREEN RECOVERY CENTERS

NPI Number
1093998312
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EVERGREEN RECOVERY CENTERS
Primary location
2601 SUMMIT AVE
EVERETT, WA 98201-3309
Phone: (425) 258-2407 Fax: (425) 339-2601
Mailing address
PO BOX 12598
EVERETT, WA 98206-2598
Phone: (425) 258-2407 Fax: (258) 339-2601
Organization Subpart
Yes - EVERGREEN RECOVERY CENTERS is subpart of another organization.
Authorized Official
KATHY KAIN
CHIEF QUALITY OFFICER
Phone: (425) 343-4599
Updated
Certification Date
May 16, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for EVERGREEN RECOVERY CENTERS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidWA1995109
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
324500000X
- Substance Abuse Rehabilitation Facility (Primary)
WA 31-0108-02

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.