Texas HHSC regulated location/provider

EVERGREEN LIFE SERVICES OF FT WORTH

In-home-only regulated provider/location. This record identifies a regulated provider/location at the source grain.

Regulator: Texas Health and Human Services Commission (HHSC)
Provider class: In-home-only regulated provider/location
Texas HHSC Facility ID: 110911
TrustHub location identity: TX|HHSC|TX_DAHS_ISS_ONLY|110911
Recorded location: 3425 VICKERY BLVD, FT WORTH, TEXAS, 76105 · TARRANT County
Facility Licensed, as reported: YES
Facility Certified, as reported: NO
License number: 310811
License effective date: 2025-02-08
License expiration date: 2028-02-08
Organization linkage: Not established
Source update date: 2026-09-29
Official source: Texas HHSC provider directory

Source status and license facts are reported separately. A license number is not a corporate identity or a CMS CCN.