Evergreen Care Homes Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EVERGREEN CARE HOMES INC

Practice address

825 W Ashlan Ave Ste 102
Clovis, CA 93612-4735

Phone

(559) 473-4422

NPI assigned

Mar 23, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Andrea Hansen

Title

Owner/Admin

Phone

(559) 903-1518

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584921600000",
    "number": "1124655956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 W ASHLAN AVE STE 102",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936124735",
            "telephone_number": "559-473-4422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W ASHLAN AVE STE 102",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936124735",
            "telephone_number": "559-473-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN CARE HOMES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A",
        "authorized_official_last_name": "HANSEN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "OWNER/ADMIN",
        "authorized_official_telephone_number": "559-903-1518"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aldine Mae Estrada, PTA
• Selene Estrada
• Vanessa Estrada
• Amy Evans
• Susan Evans, NP
• Evergreen Carehome Inc
• Evexia Wellness Centers Inc
• Evolve Physical Therapy and Performance, Inc
• Excel Specialty Pharmacy LLC (Excel Specialty Pharmacy)
• Exodus

• Assisted Living Facility in Clovis, CA
• Providers in Clovis, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.