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EVERGREEN SENIOR HOME CARE AT CORONA LLC
NPI 1215752993
Assisted Living Facility in Corona, CA

Active since November 18, 2024
826 PASEO GRANDE, CORONA, CA 92882(951) 893-0859 Get Directions Write a Review

NPPES record last updated: November 18, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Evergreen Senior Home Care At Corona Llc NPPES

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

EVERGREEN SENIOR HOME CARE AT CORONA LLC (NPI 1215752993) is a healthcare organization registered as an assisted living facility in Corona, California and active in the NPI registry since November 2024. The organization lists Tamanna Rahman, Administrator, as its authorized official.

NPPES Registry Identity

NPI1215752993
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEVERGREEN SENIOR HOME CARE AT CORONA LLC
Location Address826 PASEO GRANDECorona, CA 92882-2841
Mailing AddressPo Box 27009Anaheim, CA 92809-0100 · (951) 893-0859
Phone(951) 893-0859
Organization SubpartNo
Authorized OfficialTamanna RahmanAdministrator · (951) 893-0859
Enumeration DateNovember 18, 2024
NPPES CertifiedNovember 18, 2024
✔ NPI 1215752993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
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.
826 PASEO GRANDE, Corona, CA 92882
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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 Home Care At Corona LLC's NPI number?

The NPI number for Evergreen Senior Home Care At Corona LLC is 1215752993. It was assigned to this organization in the NPPES registry on November 18, 2024.

Where is Evergreen Senior Home Care At Corona LLC located?

Evergreen Senior Home Care At Corona LLC is located at 826 Paseo Grande, Corona, CA 92882. The listed phone number is (951) 893-0859.

What is Evergreen Senior Home Care At Corona LLC'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 Home Care At Corona LLC was last updated on November 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.