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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

EVERGREEN GOLDEN AGE
NPI 1700700507
Custodial Care Facility - Adult Care Home in Mount Vernon, WA

Active since August 05, 2026
221 BELMONT TER, MOUNT VERNON, WA 98274(425) 900-2848 Get Directions Write a Review

NPPES record added: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Golden Age NPPES

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

EVERGREEN GOLDEN AGE (NPI 1700700507) is a healthcare organization registered as an adult care home in Mount Vernon, Washington and active in the NPI registry since August 2026. The organization lists Brandon Liu, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1700700507
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameEVERGREEN GOLDEN AGE
Location Address221 BELMONT TERMount Vernon, WA 98274-4519
Mailing Address13525 22nd Ave SeMill Creek, WA 98012-5691
Phone(425) 900-2848
Organization SubpartNo
Authorized OfficialBrandon LiuProvider/owner · (425) 900-2848
Enumeration DateAugust 5, 2026
NPPES CertifiedAugust 5, 2026
✔ NPI 1700700507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
221 BELMONT TER, Mount Vernon, WA 98274
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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 Golden Age's NPI number?

The NPI number for Evergreen Golden Age is 1700700507. It was assigned to this organization in the NPPES registry on August 5, 2026.

Where is Evergreen Golden Age located?

Evergreen Golden Age is located at 221 Belmont Ter, Mount Vernon, WA 98274. The listed phone number is (425) 900-2848.

What is Evergreen Golden Age's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Evergreen Golden Age was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.