Evergreen Living Home Inc. in Leicester - Adult Care Home
Evergreen Living Home Inc. - NPI 1295856052
Evergreen Living Home Inc. is a Adult Care Home in Leicester, North Carolina. Evergreen Living Home Inc. practices all healthcare services and medical treatments related to Adult Care Home. The NPI Number for Evergreen Living Home Inc. is 1295856052. The last update date is 2023-09-08.
Evergreen Living Home Inc.'s current location address is Po Box 2077, Leicester, North Carolina. You can contact this provider via phone number 8287795588. The mailing address for Evergreen Living Home Inc. is Po Box 2077, Leicester, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Living Home Inc. |
|---|---|
| Address | Po Box 2077, Leicester, North Carolina |
| Phone Number | 8287795588 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Lee Song Young |
| Telephone Number | 8287795588 |
NPI Number Detail
| NPI Number | 1295856052 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2023-09-08 |
Provider Mailing Address Detail
| Address | Po Box 2077 |
|---|---|
| City | Leicester |
| State | North Carolina (NC) |
| Post Code | 287482077 |
| Phone Number | 8287795588 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Care Home |
|---|---|
| Taxonomy | 311Za0620X |
| Licence No | FCL-011-223 |
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Definition: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like en |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7805449 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Evergreen Living Home Inc. by the Centers for Medicare & Medicaid Services?
The Evergreen Living Home Inc. has been issued the NPI (National Provider Identifier) 1295856052 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Evergreen Living Home Inc. is geographically located?
The Evergreen Living Home Inc. is physically situated at the following location: Po Box 2077, Leicester, NC, 287482077.
What is Evergreen Living Home Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Evergreen Living Home Inc. is Adult Care Home, and the corresponding taxonomy classification code for this specialized field is 311Za0620X.
On what date did the Centers for Medicare & Medicaid Services issue the 1295856052 to Evergreen Living Home Inc.?
The Evergreen Living Home Inc. received its 1295856052 assignment from the Centers for Medicare & Medicaid Services on 2007-04-02.
When was the Evergreen Living Home Inc.'s information last updated?
The Evergreen Living Home Inc.'s information was last updated on 2023-09-08.