Evergreen Life Care Homes Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EVERGREEN LIFE CARE HOMES INC.

Practice address

542 W Browning Ave
Fresno, CA 93704-1802

Phone

(498) 483-0196

Fax

(449) 468-0030

NPI assigned

Jul 28, 2023

Last updated

Jul 28, 2023By 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

Minakshi Roychoudhury

Title

Licensee/Administrator

Phone

(408) 483-0196

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1690502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690502400000",
    "number": "1487335709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3092 HANSON AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936113917",
            "telephone_number": "408-483-0196",
            "fax_number": "559-468-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "542 W BROWNING AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041802",
            "telephone_number": "498-483-0196",
            "fax_number": "449-468-0030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 W Scott Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113006",
            "country_code": "US",
            "telephone_number": "408-483-0196",
            "fax_number": "559-468-0030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5633 N Maroa Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937042007",
            "country_code": "US",
            "telephone_number": "408-483-0196",
            "fax_number": "559-468-0030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVERGREEN LIFE CARE HOMES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-28",
        "last_updated": "2023-07-28",
        "certification_date": "2023-07-28",
        "status": "A",
        "authorized_official_last_name": "ROYCHOUDHURY",
        "authorized_official_first_name": "MINAKSHI",
        "authorized_official_title_or_position": "LICENSEE/ADMINISTRATOR",
        "authorized_official_telephone_number": "408-483-0196"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Celeste Evaristo Hernandez
• Estella Veronica Evaro
• Estelle Ruth Everett, PT
• Al Joe Everette, CADC-II, SAP
• Evergreen Care Center LLC (Evergreen Care Center)
• Chandler Everill
• Lois Everitt-Krause, LMFT
• Evermore Hospice Inc
• Michelle Evers, CADC-CAS
• Everside Health LLC (Everside Health Fresno)

• Assisted Living Facility in Fresno, CA
• Providers in Fresno, 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 Jul 28, 2023; 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.