Evermore Assisted Living LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

EVERMORE ASSISTED LIVING LLC

Practice address

800 Hintze Landing CT
Modesto, CA 95354-0200

Phone

(415) 517-9247

NPI assigned

Oct 27, 2026

Last updated

Oct 27, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Obegolu, RNNPI 1821769092

Title

Owner/Administrator

Phone

(415) 517-9247

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Obegolu

  • Administrator Registered Nurse
  • Hayward, CA
  • NPI 1821769092
  NPD (past) Authorized official

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

{
    "created_epoch": "1793059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793059200000",
    "number": "1205734563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 BENMORE DR",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945427936",
            "telephone_number": "415-517-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 HINTZE LANDING CT",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953540200",
            "telephone_number": "415-517-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERMORE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-27",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-27",
        "status": "A",
        "authorized_official_last_name": "OBEGOLU",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "415-517-9247",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Evans, RN, BSN, PHN
• Kathleen Lynn Eve, MD
• Jamie Everett, BA
• Evergreen Convalescent Hospital and Rehabilitation Center, Inc. (Evergreen Nursing & Rehabilitation Care Center)
• Jahnae Everhart
• Everside-Ca Ironworkers-Modesta
• Evins Cremation &Funeral Home (Evins Funeral Home)
• Tyler Ewing
• Express to Progress Inc.
• Ez Sleep Club, Inc. (Modesto Sleep Center Diagnostic)

• Assisted Living Facility (Mental Illness) in Modesto, CA
• Providers in Modesto, CA by specialty
• Assisted Living Facility (Mental Illness) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2026; 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.