EVERGREEN MANOR RETIREMENT HOME
NPI 1366697153
Assisted Living Facility in Safety Harbor, FL

Q: What is Evergreen Manor Retirement Home's NPI number?

The NPI number for Evergreen Manor Retirement Home is 1366697153. It was assigned to this organization in the NPPES registry on November 21, 2008.

Q: What is Evergreen Manor Retirement Home's specialty?

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

Active since November 21, 2008

3297 STATE ROAD 580, SAFETY HARBOR, FL 34695(727) 724-3776 Get Directions Write a Review

NPPES record last updated: November 21, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Evergreen Manor Retirement Home NPPES

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

EVERGREEN MANOR RETIREMENT HOME (NPI 1366697153) is a healthcare organization registered as an assisted living facility in Safety Harbor, Florida and active in the NPI registry since November 2008. The organization lists Yee-chun Tan Kapusinsky, Administrator, as its authorized official.

NPPES Registry Identity

NPI1366697153

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameEVERGREEN MANOR RETIREMENT HOME

Location Address3297 STATE ROAD 580Safety Harbor, FL 34695-4929

Mailing Address3297 State Road 580Safety Harbor, FL 34695-4929 · (727) 724-3776

Phone(727) 724-3776

Organization SubpartNo

Authorized OfficialYee-chun Tan KapusinskyAdministrator · (727) 480-2180

Enumeration DateNovember 21, 2008

✔ NPI 1366697153 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 FL · AL8760

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.

3297 STATE ROAD 580, Safety Harbor, FL 34695

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Other Providers at the Same Location NPPES

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

K AND D CARE COMMUNITIES, LLC

Assisted Living Facility

3297 STATE ROAD 580
SAFETY HARBOR, FL 34695

Pinellas County (727) 724-3776

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 Manor Retirement Home's NPI number?

The NPI number for Evergreen Manor Retirement Home is 1366697153. It was assigned to this organization in the NPPES registry on November 21, 2008.

Where is Evergreen Manor Retirement Home located?

Evergreen Manor Retirement Home is located at 3297 State Road 580, Safety Harbor, FL 34695. The listed phone number is (727) 724-3776.

What is Evergreen Manor Retirement Home'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 Manor Retirement Home was last updated on November 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.