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EVERGREEN PROGRAM
NPI 1124237094
Nursing Facility/Intermediate Care Facility in Woodland, CA

Active since May 21, 2007
1215 EVERGREEN WAY, WOODLAND, CA 95695(530) 406-0333 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Evergreen Program NPPES

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

EVERGREEN PROGRAM (NPI 1124237094) is a healthcare organization registered as a nursing facility/intermediate care facility in Woodland, California and active in the NPI registry since May 2007. The organization lists Parminder Kajley, Administrator, as its authorized official.

NPPES Registry Identity

NPI1124237094
Entity TypeOrganization
Primary Taxonomy313M00000X
Legal Business NameWOODLAND RESIDENTIAL SERVICES, INC.
Location Address1215 EVERGREEN WAYWoodland, CA 95695-4353
Mailing Address1381 E Gum AveWoodland, CA 95776-4275 · (530) 406-0333
Phone(530) 406-0333
Organization SubpartNo
Authorized OfficialParminder KajleyAdministrator · (530) 406-0333
Enumeration DateMay 21, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1124237094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities
Taxonomy Code313M00000X
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
1215 EVERGREEN WAY, Woodland, CA 95695
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Other Names 1

Other NameEvergreen Program

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 Woodland Residential Services, Inc.'s NPI number?

The NPI number for Woodland Residential Services, Inc. is 1124237094. It was assigned to this organization in the NPPES registry on May 21, 2007. The provider is also known as Evergreen Program.

Where is Woodland Residential Services, Inc. located?

Woodland Residential Services, Inc. is located at 1215 Evergreen Way, Woodland, CA 95695. The listed phone number is (530) 406-0333.

What is Woodland Residential Services, Inc.'s specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Woodland Residential Services, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.