EVERGREEN ELDER RESIDENTIAL CARE INC
NPI 1346171618
Assisted Living Facility in Roseville, CA

Q: What is Evergreen Elder Residential Care Inc's NPI number?

The NPI number for Evergreen Elder Residential Care Inc is 1346171618. It was assigned to this organization in the NPPES registry on May 26, 2026.

Q: What is Evergreen Elder Residential Care Inc's specialty?

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

Active since May 26, 2026

1204 PEORIA WAY, ROSEVILLE, CA 95747(916) 666-9804(916) 755-4406 Get Directions Write a Review

NPPES record last updated: May 26, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Evergreen Elder Residential Care Inc NPPES

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

EVERGREEN ELDER RESIDENTIAL CARE INC (NPI 1346171618) is a healthcare organization registered as an assisted living facility in Roseville, California and active in the NPI registry since May 2026. The organization lists Parminder Kaur, Administrator, as its authorized official.

NPPES Registry Identity

NPI1346171618

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameEVERGREEN ELDER RESIDENTIAL CARE INC

Location Address1204 PEORIA WAYRoseville, CA 95747-9574

Mailing Address1204 Peoria WayRoseville, CA 95747-9574 · (916) 666-9804 · Fax (916) 755-4406

Phone(916) 666-9804

Fax(916) 755-4406

Organization SubpartNo

Authorized OfficialParminder KaurAdministrator · (916) 666-9804

Enumeration DateMay 26, 2026

NPPES CertifiedMay 26, 2026

✔ NPI 1346171618 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.

1204 PEORIA WAY, Roseville, CA 95747

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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 Elder Residential Care Inc's NPI number?

The NPI number for Evergreen Elder Residential Care Inc is 1346171618. It was assigned to this organization in the NPPES registry on May 26, 2026.

Where is Evergreen Elder Residential Care Inc located?

Evergreen Elder Residential Care Inc is located at 1204 Peoria Way, Roseville, CA 95747. The listed phone number is (916) 666-9804.

What is Evergreen Elder Residential Care 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 Elder Residential Care Inc was last updated on May 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.