EVERGREEN ISLAND, LLC
NPI 1730783788
Skilled Nursing Facility in Livermore, CA

Active since November 30, 2020
1710 MOUNT DIABLO WAY, LIVERMORE, CA 94551(925) 518-8464(925) 380-1668 Get Directions Write a Review

NPPES record last updated: November 30, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Evergreen Island, Llc NPPES

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

EVERGREEN ISLAND, LLC (NPI 1730783788), doing business as Evergreen, is a healthcare organization registered as a skilled nursing facility in Livermore, California and active in the NPI registry since November 2020. The organization lists Janelle M Garcia, Ceo, as its authorized official.

NPPES Registry Identity

NPI1730783788
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEVERGREEN ISLAND, LLC
Location Address1710 MOUNT DIABLO WAYLivermore, CA 94551-6937
Mailing Address52 Obsidian WayLivermore, CA 94550-9470 · (925) 518-8464 · Fax (925) 380-1668
Fax(925) 380-1668
Organization SubpartNo
Authorized OfficialJanelle M GarciaCeo · (925) 518-8464
Enumeration DateNovember 30, 2020
NPPES CertifiedNovember 30, 2020
✔ NPI 1730783788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
1710 MOUNT DIABLO WAY, Livermore, CA 94551

Other Names 1

Doing Business AsEvergreen

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 Island, LLC's NPI number?

The NPI number for Evergreen Island, LLC is 1730783788. It was assigned to this organization in the NPPES registry on November 30, 2020. The provider is doing business as Evergreen.

Where is Evergreen Island, LLC located?

Evergreen Island, LLC is located at 1710 Mount Diablo Way, Livermore, CA 94551. The listed phone number is (925) 518-8464.

What is Evergreen Island, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Evergreen Island, LLC was last updated on November 30, 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.