Evergreen Residential Care in Salt Lake City - Assisted Living Facility
Evergreen Residential Care - NPI 1487719662
Evergreen Residential Care is a Assisted Living Facility in Salt Lake City, Utah. Evergreen Residential Care practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Evergreen Residential Care is 1487719662. The last update date is 2020-08-22.
Evergreen Residential Care's current location address is 2374 Evergreen Ave, Salt Lake City, Utah. You can contact this provider via phone number 8012722601 and fax number 8012783697. The mailing address for Evergreen Residential Care is 2374 Evergreen Ave, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Evergreen Residential Care |
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Address | 2374 Evergreen Ave, Salt Lake City, Utah |
Phone Number | 8012722601 |
Fax Number | 8012783697 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Forsman Darcy Melvin |
Telephone Number | 8012722601 |
NPI Number Detail
NPI Number | 1487719662 |
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Provider Enumeration Date | 2006-12-27 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 2374 Evergreen Ave |
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City | Salt Lake City |
State | Utah (UT) |
Post Code | 841093006 |
Phone Number | 8012722601 |
Fax Number | 8012783697 |
Provider's Primary Taxonomy Detail
Speciality | Assisted Living Facility |
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Taxonomy | 310400000X |
Licence No | 2919 |
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
Post Comment/ Review Below
What is the unique provider identifier assigned to Evergreen Residential Care?
The Evergreen Residential Care has been issued the NPI (National Provider Identifier) 1487719662 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Evergreen Residential Care is geographically located?
The Evergreen Residential Care is physically situated at the following location: 2374 Evergreen Ave, Salt Lake City, UT, 841093006.
What is Evergreen Residential Care's area of expertise and its corresponding taxonomy classification?
The Evergreen Residential Care's field of specialization is Assisted Living Facility, and it falls under the taxonomy code 310400000X, which categorizes healthcare providers based on their areas of practice.
What is Evergreen Residential Care's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Evergreen Residential Care is Assisted Living Facility, and the taxonomy code that classifies this field of practice is 310400000X.
When was the information regarding Evergreen Residential Care, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Evergreen Residential Care, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.