EVERGREEN SENIOR LIVING,INC


Address: 23635 Collins St, Woodland Hills, CA 91367-5916
Phone: 8183312320

EVERGREEN SENIOR LIVING,INC (NPI# 1073919783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073919783
Entity Type Organization
Organization Name EVERGREEN SENIOR LIVING,INC
Practice Address 23635 Collins St
Woodland Hills
CA 91367-5916
Practice Telephone 8183312320
Practice Fax Number 8187047339
Mailing Telephone 8183312320
Mailing Fax Number 8187047339
Enumeration Date 2014-11-06
Last Update Date 2014-11-06
Authorized Official Name MR. JACOB FAHIMIPOUR (ADMINISTRATOR)
Authorized Official Telephone 8183312320
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 310400000X Assisted Living Facility 197608576 CA Nursing & Custodial Care Facilities

Office Location

Street Address 23635 COLLINS ST
City WOODLAND HILLS
State CA
Zip Code 91367-5916

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912316365 Jacob Fahimipour Community Health Worker 23635 Collins St, Woodland Hills, CA 91367-5916 2014-08-11
1053931311 Silver Care Inc Skilled Nursing Facility 23635 Collins St, Woodland Hills, CA 91367-5916 2020-04-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144837386 Welby Way Home LLC Hospice Care, Community Based 21550 Oxnard St., 3rd Floor Suite # 57, Woodland Hills, CA 91367 2020-09-30
1821619180 Jmg Recovery, Inc Substance Abuse Rehabilitation Facility 23043 Hatteras Street, Woodland Hills, CA 91367 2020-04-28
1952952137 Carol L. Frankel Technician 22616 Victory Blvd., Woodland Hills, CA 91367 2019-09-27
1346890191 Sharie Renell Boudreaux Behavioral Analyst 210600 Oxnard St, Suite 1800, Woodland Hills, CA 91367 2019-09-13
1104381631 Victor Fernando Tovar Behavior Technician 21600 Oxnard Street, Suite 1030, Woodland Hills, CA 91367 2019-02-08
1982173076 Tefany Cheam Behavioral Analyst 216000 Oxnard St., Suite 1800, Woodland Hills, CA 91367 2018-11-19
1205301520 Basso Pharmacy, Inc. Pharmacy 5952 & 5954 Fallbrook Avenue, Woodland Hills, CA 91367 2018-10-13
1255813523 Annemarie Fine Behavioral Analyst 21609 Oxnard St Ste 1800, Woodland Hills, CA 91367 2018-09-04
1730661166 Paige Sefton Marriage & Family Therapist 21333 Oxnard St., Woodland Hills, CA 91367 2018-09-01
1073095402 Rosalia Hernandez Behavioral Analyst 21600 Oxnard St Ste, Woodland Hills, CA 91367 2018-09-01
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Taxonomy Information

Taxonomy Code 310400000X
Grouping Nursing & Custodial Care Facilities
Classification Assisted Living Facility

Taxonomy Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Notes: [7/1/2003: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1225670904 Bewise Assisted Living Facility 22214 Vanowen St, Woodland Hills, CA 91303-2401 2019-10-14
1992271472 Liliya Pyarali Assisted Living Facility 5515 Fallbrook Ave, Woodland Hills, CA 91367-4327 2018-10-22
1770761363 E D Gardens Inc. Assisted Living Facility 23601 Canzonet St, Woodland Hills, CA 91367-5845 2008-02-06
1942773361 Reseda Home for The Elderly, Inc. - Dba- Ave of The Bells Assisted Living Facility 5826 Jumilla Ave, Woodland Hills, CA 91367-5604 2019-01-08
1801384631 Ventura Park Management LLC Assisted Living Facility 21200 Ventura Blvd, Woodland Hills, CA 91364-2106 2018-04-26

Providers in the same taxonomy and state

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1609476589 Southbay Care Home, Inc. Assisted Living Facility 19917 Anza Avenue, Torrance, CA 90503-2005 2020-10-29
1821697434 Global Regency Senior Care Services, LLC Assisted Living Facility 117 E 8th St, Long Beach, CA 90813-4397 2020-10-23
1689273419 Pacifica Slo LLC Assisted Living Facility 475 Marsh St, San Luis Obispo, CA 93401-6108 2020-10-22
1871192682 Pacifica Sfo LLC Assisted Living Facility 624 Laguna St, San Francisco, CA 94102-4217 2020-10-22
1528667367 Pacifica Sierra Vista Lp Assisted Living Facility 13815 Rodeo Dr, Victorville, CA 92395-5600 2020-10-22
1992304737 West Lyons Lp Assisted Living Facility 24305 Lyons Ave, Newhall, CA 91321-2344 2020-10-22
1619576451 Pacifica Orange County LLC Assisted Living Facility 2619 Orange Ave, Costa Mesa, CA 92627-4630 2020-10-22
1720687551 P San Leandro Lp Assisted Living Facility 348 W Juana Ave, San Leandro, CA 94577-3661 2020-10-22
1952900730 Pacifica Daly LLC Assisted Living Facility 995 E Market St, Daly City, CA 94014-2168 2020-10-22
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Competitor

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City WOODLAND HILLS
Zip Code 91367

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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