Organization Active NPI

Evergreen Living Innovations, Inc.

Doing business as Evergreen Community of Johnson County

  • Skilled Nursing Facility
  • Olathe, KS
National Provider Identifier
1356492649
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
N046029 Issued in KS
Legal business name
EVERGREEN LIVING INNOVATIONS, INC.
Doing business as
Evergreen Community of Johnson County
Practice address
11875 S Sunset Dr Ste 100
Olathe, KS 66061-2794
Phone
(913) 477-8227
Fax
(913) 477-8001
NPI assigned
Jan 15, 2007
Last updated
Apr 8, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Authorized official

Name
Ms. K J Langlais
Title
Chief Executive Officer
Phone
(913) 477-8227

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X N046029 KS Primary

Addresses

Primary practice location

11875 S Sunset Dr Ste 100
Olathe, KS 66061-2794

Mailing address

11875 S Sunset Dr Ste 100
Olathe, KS 66061-2794
Phone (913) 477-8227

Other identifiers 1

IdentifierTypeStateIssuer
100451870AMedicaidKS

Other names 1

  • Evergreen Community of Johnson County Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030401000021 KS Part A Provider - Skilled Nursing Facility 8022927102 Practice locations: Olathe, KS

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356492649. Details of each certification follow.

Skilled nursing facility certification: CCN 175355

Legal name
EVERGREEN LIVING INNOVATIONS INC
Doing business as
EVERGREEN COMMUNITY OF JOHNSON COUNTY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jan 1, 1996
Last certification
May 1, 2024
Beds
44
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Enrollment address
11875 S Sunset Dr
Ste 100
Olathe, KS 66061-2794
Nursing home name
EVERGREEN COMMUNITY OF JOHNSON COUNTY

Care Compare: Nursing home

Medicare Care Compare
Listed as
Evergreen Community of Johnson CountyCCN 175355 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Jan 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4476.7 residents per day on average
Penalties (3 years)
3Fines totaling $22,913

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D0886466Evergreen Community of Johnson County11875 S Sunset Drive, Suite 100, Olathe, KS 66061Certificate of waiverMay 18, 2028

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Chris Holland Individual Corporate OfficerBoard Member Aug 19, 2019
Operational/Managerial Control Jan 6, 2025
Linda Gallagher Individual Corporate DirectorBoard Member Aug 20, 2020
Operational/Managerial Control Jan 6, 2025
Patrick Amos Individual Corporate OfficerBoard Treasurer Jan 1, 2022
Dianne Daugherty Individual Corporate DirectorBoard Member Oct 1, 2018
Operational/Managerial Control Jan 6, 2025
Jessica Dupriest Individual Corporate OfficerBoard Secretary Jan 1, 2024
Mark Kevin Dwyer Individual Corporate DirectorBoard Member Jan 1, 2024
Operational/Managerial Control Jan 6, 2025
Charla Roberts Individual Corporate OfficerAdministrator Oct 9, 2023
Operational/Managerial Control Oct 9, 2023
Adp of the SNF Oct 9, 2023
Mark Gash Individual Corporate DirectorBoard Member Apr 1, 2018
Operational/Managerial Control Jan 6, 2025
Brett a Parise Individual Corporate DirectorBoard Member Jan 1, 2022
Operational/Managerial Control Jan 6, 2025
Mary Gash Individual Corporate DirectorBoard Member Oct 18, 2018
Operational/Managerial Control Jan 6, 2025
Andrea Plowman Individual Corporate OfficerBoard Chair Jan 1, 2024
Christopher M Osborn Individual Corporate OfficerCeo May 1, 2011
Debra Swearingen-Lyles Individual Corporate DirectorBoard Member Apr 23, 2024
Operational/Managerial Control Jan 6, 2025
Evergreen Living Innovations Inc Organization, Olathe, KS Non-profit 5% Or Greater Direct Ownership Interest Jan 1, 2003 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Evergreen Hospice Care LLCOlathe, KS, CCN 171595 Hospice 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Dec 9, 2014
Dec 9, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 2

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.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239148800000",
    "number": "1356492649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11875 S SUNSET DR STE 100",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660612794",
            "telephone_number": "913-477-8227",
            "fax_number": "913-477-8001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11875 S SUNSET DR STE 100",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660612794",
            "telephone_number": "913-477-8227",
            "fax_number": "913-477-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN LIVING INNOVATIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-15",
        "last_updated": "2009-04-08",
        "status": "A",
        "authorized_official_last_name": "LANGLAIS",
        "authorized_official_first_name": "K",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "913-477-8227",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N046029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100451870A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Community of Johnson County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Olathe, KS

Sources for this page

Verify at the official NPI Registry.