Evergreen Chateau Incorporated

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

197607308 Issued in CA

Legal business name

EVERGREEN CHATEAU INCORPORATED

Practice address

13530 Sherman Way
Van Nuys, CA 91405-2830

Phone

(818) 902-9501

NPI assigned

Dec 31, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Craig Matthew Michayluk, DBA

Title

President

Phone

(818) 359-9447

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samvel Hmayakyan, M.D.

  • Family Medicine Physician
  • Glendale, CA
  • NPI 1538168174
  NPD (past)
• Angela M Taylor, L.C.S.W.

  • Clinical Social Worker
  • Sherman Oaks, CA
  • NPI 1942427687
  NPD (past)

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

{
    "created_epoch": "1230681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230681600000",
    "number": "1235375890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7610",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913277610",
            "telephone_number": "818-902-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13530 SHERMAN WAY",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914052830",
            "telephone_number": "818-902-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN CHATEAU INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-31",
        "last_updated": "2008-12-31",
        "status": "A",
        "authorized_official_last_name": "MICHAYLUK",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-359-9447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DBA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "197607308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Nicole Evans, BA,MA,PPS
• Even Hospice Inc
• Event Medical and Safety, LLC
• Ever Loving Care Hospice Inc
• Evercare Home Health, Inc.
• Everlast Palliative and Hospice Care Inc
• Every Day Hospice Care, Inc
• Eves Garden, Inc
• Mehran Evini, DDS
• Evita Hospice

• Assisted Living Facility in Van Nuys, CA
• Providers in Van Nuys, 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 Dec 31, 2008; 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.