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Evergreen Community & Support Services LLC

NPI 1346068731ActiveOrganization· Case Manager/Care Coordinator· Bellingham, WA

Case Manager/Care Coordinator in Bellingham, Washington, registered in NPPES in October 2024. The authorized official on file is Costan Jaya Balgobin, B.A., Co-Owner.

Overview

NPI1346068731
StatusActive
Entity typeOrganization
NPI issuedOct 2, 2024
Last updated in NPPESOct 2, 2024
Certified by providerOct 2, 2024

Specialties and licenses

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary171M00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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