EVERGREEN LIVING HOME #4
NPI 1427255264
Assisted Living Facility in Leicester, NC

Active since June 27, 2007
230 COUNTRY TIME CIRCLE, LEICESTER, NC 28748(828) 683-8884 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Living Home #4 NPPES

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

EVERGREEN LIVING HOME #4 (NPI 1427255264) is a healthcare organization registered as an assisted living facility in Leicester, North Carolina and active in the NPI registry since June 2007. The organization lists Linda Lea, Administrator, as its authorized official.

NPPES Registry Identity

NPI1427255264
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEVERGREEN LIVING HOME #4
Location Address230 COUNTRY TIME CIRCLELeicester, NC 28748
Mailing AddressPo Box 1808Leicester, NC 28748-1808
Organization SubpartNo
Authorized OfficialLinda LeaAdministrator · (828) 279-9592
Enumeration DateJune 27, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1427255264 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 NC · FCL-011-248
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.
230 COUNTRY TIME CIRCLE, Leicester, NC 28748

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.

Custodial Care Facility (Adult Care Home)
230 COUNTRY TIME CIRCLE
LEICESTER, NC 28748
Custodial Care Facility (Adult Care Home)
230 COUNTRY TIME CIRCLE
LEICESTER, NC 28748

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 Living Home #4's NPI number?

The NPI number for Evergreen Living Home #4 is 1427255264. It was assigned to this organization in the NPPES registry on June 27, 2007.

Where is Evergreen Living Home #4 located?

Evergreen Living Home #4 is located at 230 Country Time Circle, Leicester, NC 28748. The listed phone number is (828) 683-8884.

What is Evergreen Living Home #4'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 Living Home #4 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.