Evergreen Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EVERGREEN ASSISTED LIVING, LLC

Practice address

175 Exchange St Ste 240
Bangor, ME 04401-7408

Phone

(207) 702-0243

Fax

(207) 598-1122

NPI assigned

Feb 4, 2026

Organization subpart

No

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

Authorized official

Name

Taylor Morris, RN

Title

Ceo/Owner

Phone

(207) 702-0243

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1770163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770163200000",
    "number": "1346191608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 EXCHANGE ST STE 240",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044017408",
            "telephone_number": "207-702-0243",
            "fax_number": "207-598-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 EXCHANGE ST STE 240",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044017408",
            "telephone_number": "207-702-0243",
            "fax_number": "207-598-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-04",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A",
        "authorized_official_last_name": "MORRIS",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "207-702-0243",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Bangor, ME
• Providers in Bangor, ME by specialty
• Assisted Living Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.