Evergreen Glow Nursing Wellness Spa Apc

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

EVERGREEN GLOW NURSING WELLNESS SPA APC

Practice address

23133 Ventura Blvd Ste 103
Woodland Hills, CA 91364-1184

Phone

(747) 265-9120

NPI assigned

Oct 15, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Delphine B Beaubrun, RNNPI 1174388581

Title

Co-Ceo

Phone

(747) 265-9120

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Delphine Bertalie Beaubrun, RN

  • Registered Nurse
  • Tarzana, CA
  • NPI 1174388581
  NPD Authorized official

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

{
    "created_epoch": "1760486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760486400000",
    "number": "1689540825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23133 VENTURA BLVD STE 103",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641184",
            "telephone_number": "747-265-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23133 VENTURA BLVD STE 103",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913641184",
            "telephone_number": "747-265-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERGREEN GLOW NURSING WELLNESS SPA APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-15",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A",
        "authorized_official_last_name": "BEAUBRUN",
        "authorized_official_first_name": "DELPHINE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CO-CEO",
        "authorized_official_telephone_number": "747-265-9120",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel James Evans
• Hayli Evans, LMFT, LPCC
• Julia Evans, OTR/L
• Samuel Evans
• Timia Jarice Evans
• Evergreen Senior Living,Inc
• Brittney O Everhart
• Everroot Nutrition
• Everyday Home Health Care
• Evexia Counseling & Consulting, Inc.

• Nursing Care Agency in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Nursing Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.