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EVERGREEN SENIOR LIVING,INC
NPI 1073919783
Assisted Living Facility in Woodland Hills, CA

Active since November 06, 2014
23635 COLLINS ST, WOODLAND HILLS, CA 91367(818) 331-2320(818) 704-7339 Get Directions Write a Review

NPPES record last updated: November 6, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Senior Living,inc NPPES

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

EVERGREEN SENIOR LIVING,INC (NPI 1073919783) is a healthcare organization registered as an assisted living facility in Woodland Hills, California and active in the NPI registry since November 2014. The organization lists Jacob Fahimipour, Administrator, as its authorized official.

NPPES Registry Identity

NPI1073919783
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEVERGREEN SENIOR LIVING,INC
Location Address23635 COLLINS STWoodland Hills, CA 91367-5916
Mailing Address23635 Collins StWoodland Hills, CA 91367-5916 · (818) 331-2320 · Fax (818) 704-7339
Phone(818) 331-2320
Fax(818) 704-7339
Organization SubpartNo
Authorized OfficialJacob FahimipourAdministrator · (818) 331-2320
Enumeration DateNovember 6, 2014
✔ NPI 1073919783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in CA · 197608576
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.
23635 COLLINS ST, Woodland Hills, CA 91367
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Other Providers at the Same Location NPPES 2

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

SILVER CARE INC
Skilled Nursing Facility
23635 COLLINS ST
WOODLAND HILLS, CA 91367
Los Angeles County (818) 433-9111
JACOB FAHIMIPOUR
Community Health Worker
23635 COLLINS ST
WOODLAND HILLS, CA 91367
Los Angeles County (818) 433-9111

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 Senior Living,inc's NPI number?

The NPI number for Evergreen Senior Living,inc is 1073919783. It was assigned to this organization in the NPPES registry on November 6, 2014.

Where is Evergreen Senior Living,inc located?

Evergreen Senior Living,inc is located at 23635 Collins St, Woodland Hills, CA 91367. The listed phone number is (818) 331-2320.

What is Evergreen Senior Living,inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Evergreen Senior Living,inc was last updated on November 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.