Evergreen Elder Residential Care Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EVERGREEN ELDER RESIDENTIAL CARE INC

Practice address

1204 Peoria Way
Roseville, CA 95747-9574

Phone

(916) 666-9804

Fax

(916) 755-4406

NPI assigned

May 26, 2026

Organization subpart

No

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

Authorized official

Name

Parminder Kaur, PK

Title

Administrator

Phone

(916) 666-9804

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1346171618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 PEORIA WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957479574",
            "telephone_number": "916-666-9804",
            "fax_number": "916-755-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1204 PEORIA WAY",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957479574",
            "telephone_number": "916-666-9804",
            "fax_number": "916-755-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN ELDER RESIDENTIAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "PARMINDER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "916-666-9804",
        "authorized_official_credential": "PK"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Evanczik, OTR/L
• Joanne Marie Evans
• Lauren Elisabeth Evans
• Ekaterina Evchenkova
• Jennifer J Everett, O.D.
• Everkind Living
• Desiree Jeannette Ewell, PHARMD
• Lindsey Diane Ewick, PA-C
• Ifeanyi Ezeani
• Face and Body Solutions, Inc.

• Assisted Living Facility in Roseville, CA
• Providers in Roseville, 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 May 26, 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.