Evergreen Fund

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

EVERGREEN FUND

Doing business as

Red Door Life

Practice address

14475 Mulholland Dr
Los Angeles, CA 90077-1733

Phone

(424) 242-2760

NPI assigned

Feb 18, 2022

Last updated

Mar 4, 2022By 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

Alexander David Shohet

Title

N/S

Phone

(323) 899-9115

Specialties & licenses 1

Addresses

Other names 1

• Red Door Life Doing business as

Tax ID family

Evergreen Fund2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Evergreen Fund

  dba Red Door Life

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Beverly Hills, CA
  • NPI 1073168142
  NPD tax ID

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

{
    "created_epoch": "1645142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1386399335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8033 W SUNSET BLVD # 1053",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900462401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14475 MULHOLLAND DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771733",
            "telephone_number": "424-242-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN FUND",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-18",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "SHOHET",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "N/S",
        "authorized_official_telephone_number": "323-899-9115"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Red Door Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ann Everett, RN
• Gina Everett
• Jihan A Everett, M.S. CCC-SLP
• John M Everett, CRNA
• Marcia Lynn Everett, R.D.
• Evergreen Home Care & Hospice Inc
• Evergreen International Group, LLC
• Evergreen Psychology New York P.C.
• Evergreen RX Inc (Medico Pharmacy)
• Evergreen Wellness Center Inc.

• Substance Abuse Rehabilitation Facility in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Substance Abuse Rehabilitation Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.