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EVERGREEN OPCO LLC
NPI 1003626862
Custodial Care Facility in Eugene, OR

Active since January 13, 2025CLIA 38D2345462 · Waiver
3760 N CLAREY ST, EUGENE, OR 97402(541) 607-9525 Get Directions Write a Review

NPPES record last updated: January 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Evergreen Opco Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERGREEN OPCO LLC (NPI 1003626862), doing business as Evergreen Senior Living Community; Evergreen Memory Care Community, is a healthcare organization registered as a custodial care facility in Eugene, Oregon and active in the NPI registry since January 2025. The organization holds a CLIA Waiver certificate valid through June 9, 2028 and lists Trevor Wart, Manager, as its authorized official.

NPPES Registry Identity

NPI1003626862
Entity TypeOrganization
Primary Taxonomy311Z00000X
Legal Business NameEVERGREEN OPCO LLC
Location Address3760 N CLAREY STEugene, OR 97402-8744
Mailing Address609 Lakeview BlvdSandpoint, ID 83864-1120 · (503) 706-6918
Phone(541) 607-9525
Organization SubpartNo
Authorized OfficialTrevor WartManager · (503) 706-6918
Enumeration DateJanuary 13, 2025
NPPES CertifiedJanuary 13, 2025
✔ NPI 1003626862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities
Taxonomy Code311Z00000X
Definition
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
3760 N CLAREY ST, Eugene, OR 97402
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Other Names 1

Doing Business AsEvergreen Senior Living Community; Evergreen Memory Care Community

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 38D2345462

Evergreen Senior Living · Eugene, OR
Active · expires Jun 9, 2028
CLIA Number38D2345462
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 10, 2026
Certificate Expiration DateJune 9, 2028
Laboratory DirectorAlisha K. Rocha Hills
Laboratory Phone(541) 607-9525
Laboratory LocationEvergreen Senior Living3670 North Clarey St, Eugene, OR 97402
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMERITUS CORPORATION
Assisted Living Facility
3760 N CLAREY ST
EUGENE, OR 97402
Lane County (541) 607-9625
PREMERE REHAB LLC
Physical Therapist
3760 N CLAREY ST
EUGENE, OR 97402
Lane County (541) 689-3900
CSL - EUGENE II, LLC
Assisted Living Facility
3760 N CLAREY ST
EUGENE, OR 97402
Lane County (541) 607-9525
ALPINE SPINGS III, LLC
Assisted Living Facility
3760 N CLAREY ST
EUGENE, OR 97402
Lane County (541) 393-0900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evergreen Opco LLC's NPI number?

The NPI number for Evergreen Opco LLC is 1003626862. It was assigned to this organization in the NPPES registry on January 13, 2025. The provider is doing business as Evergreen senior living community; Evergreen memory care community.

Where is Evergreen Opco LLC located?

Evergreen Opco LLC is located at 3760 N Clarey St, Eugene, OR 97402. The listed phone number is (541) 607-9525.

What is Evergreen Opco LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

Does Evergreen Opco LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 38D2345462) is associated with this NPI, valid through June 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Evergreen Opco LLC was last updated on January 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.