EVERGREEN ASSISTED LIVING
NPI 1609072131
Assisted Living Facility in Albany, GA

Q: What is Family Extended Care Of Albany, Inc.'s NPI number?

The NPI number for Family Extended Care Of Albany, Inc. is 1609072131. It was assigned to this organization in the NPPES registry on June 22, 2007. The provider is doing business as Evergreen Assisted Living.

Q: What is Family Extended Care Of Albany, Inc.'s specialty?

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

Active since June 22, 2007CLIA 11D2128220 · Waiver

2821 GILLIONVILLE RD, ALBANY, GA 31721(229) 889-8840(229) 434-0780 Get Directions Write a Review

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

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About Evergreen Assisted Living NPPES

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

EVERGREEN ASSISTED LIVING (NPI 1609072131) is a healthcare organization registered as an assisted living facility in Albany, Georgia and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through March 27, 2027 and lists Mary Parrett, Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1609072131

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameFAMILY EXTENDED CARE OF ALBANY, INC.

Location Address2821 GILLIONVILLE RDAlbany, GA 31721-2951

Mailing Address2821 Gillionville RdAlbany, GA 31721-2951 · (229) 889-8840 · Fax (229) 434-0780

Phone(229) 889-8840

Fax(229) 434-0780

Organization SubpartNo

Authorized OfficialMary ParrettDirector Of Operations · (941) 342-0566

Enumeration DateJune 22, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1609072131 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.

2821 GILLIONVILLE RD, Albany, GA 31721

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Other Names 1

Doing Business AsEvergreen Assisted Living

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2128220

Evergreen Assisted Living · Albany, GA

Active · expires Mar 27, 2027

CLIA Number11D2128220

Laboratory TypeAssisted Living Facility

Certificate Effective DateMarch 28, 2025

Certificate Expiration DateMarch 27, 2027

Laboratory DirectorDenise F. Wang

Laboratory Phone(229) 889-8979

Laboratory LocationEvergreen Assisted Living2823 Gillionville Road, Albany, GA 31721

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

TYNIK LENESSA FOX PT

Physical Therapist

2821 GILLIONVILLE RD
ALBANY, GA 31721

Dougherty County (229) 299-4227

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 Family Extended Care Of Albany, Inc.'s NPI number?

The NPI number for Family Extended Care Of Albany, Inc. is 1609072131. It was assigned to this organization in the NPPES registry on June 22, 2007. The provider is doing business as Evergreen Assisted Living.

Where is Family Extended Care Of Albany, Inc. located?

Family Extended Care Of Albany, Inc. is located at 2821 Gillionville Rd, Albany, GA 31721. The listed phone number is (229) 889-8840.

What is Family Extended Care Of Albany, Inc.'s specialty?

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

Does Family Extended Care Of Albany, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2128220) is associated with this NPI, valid through March 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Extended Care Of Albany, 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.