NPI
Evergreen Recovery, LLC
NPI 1669281135
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2024-12-30
- Last updated
- 2024-12-30
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Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 9637 Liberty Rd Ste G
- City
- Randallstown MD
- Postal code
- 21133-2452
- Phone
- (443) 413-0468
Organization contact
- Name
- Shanazar Beasley
- Title
- CEO
- Phone
- (443) 413-0468
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Randallstown, MD. 974 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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