Evergreen Carehome Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EVERGREEN CAREHOME INC

Practice address

4767 Hampton Way
Clovis, CA 93619-6724

Phone

(209) 851-0087

NPI assigned

Jul 16, 2025

Last updated

Nov 7, 2025By 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

Sukhpreet Kaur

Title

Owner

Phone

(209) 851-0087

Specialties & licenses 1

Addresses

Other names 2

• Evergreen Care home I Other name
• Evergreen Carehome II Other name

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762473600000",
    "number": "1518859552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2848 N BURL AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937278975",
            "telephone_number": "209-851-0087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4767 HAMPTON WAY",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936196724",
            "telephone_number": "209-851-0087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3265 Lourdes Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936195603",
            "country_code": "US",
            "telephone_number": "209-851-0087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EVERGREEN CAREHOME INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A",
        "authorized_official_last_name": "KAUR",
        "authorized_official_first_name": "SUKHPREET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-851-0087"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evergreen Care home I",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Evergreen Carehome II",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Assisted Living Facility in Clovis, CA
• Providers in Clovis, 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 Nov 7, 2025; 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.