Evergreen Living Home Inc. in Leicester - Adult Care Home
Evergreen Living Home Inc. - NPI 1720109580
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 1720109580. 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 | 1720109580 |
|---|---|
| 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-011-198 |
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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 |
|---|---|---|---|
| 7805219 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Evergreen Living Home Inc. by the Centers for Medicare & Medicaid Services?
The Evergreen Living Home Inc. has been assigned the NPI (National Provider Identifier) 1720109580 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Evergreen Living Home Inc. is physically located?
The Evergreen Living Home Inc. is situated at the following address: Po Box 2077, Leicester, NC 287482077.
What is Evergreen Living Home Inc.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Evergreen Living Home Inc.'s area of specialization is Adult Care Home, and the corresponding taxonomy code that categorizes this field of practice is 311Za0620X.
When did Evergreen Living Home Inc. receive its 1720109580 assignment?
The Evergreen Living Home Inc. was assigned its 1720109580 on 2007-04-02, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Evergreen Living Home Inc. last refreshed?
The information related to the Evergreen Living Home Inc., including its address, specialty, and other relevant details, was last updated on 2023-09-08.