EVERGREEN RETIREMENT RESIDENCE
NPI 1861653370
Assisted Living Facility in Burbank, CA

Active since June 18, 2008
225 N EVERGREEN ST, BURBANK, CA 91505(818) 843-8268 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Retirement Residence NPPES

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

EVERGREEN RETIREMENT RESIDENCE (NPI 1861653370) is a healthcare organization registered as an assisted living facility in Burbank, California and active in the NPI registry since June 2008. The organization lists Frank Menlo, Owner, as its authorized official.

NPPES Registry Identity

NPI1861653370
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEVERGREEN RETIREMENT RESIDENCE
Location Address225 N EVERGREEN STBurbank, CA 91505
Mailing Address225 N Evergreen StBurbank, CA 91505-3925 · (818) 843-8268
Organization SubpartNo
Authorized OfficialFrank MenloOwner · (818) 843-8268
Enumeration DateJune 18, 2008
Last NPPES UpdateMay 14, 2021
NPPES CertifiedMay 14, 2021
NPI 1861653370 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 CA · 197609022
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.
225 N EVERGREEN ST, Burbank, CA 91505

Other Identifiers 1

Other191221567CA · Department Of Social Services

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 Retirement Residence's NPI number?

The NPI number for Evergreen Retirement Residence is 1861653370. It was assigned to this organization in the NPPES registry on June 18, 2008.

Where is Evergreen Retirement Residence located?

Evergreen Retirement Residence is located at 225 N Evergreen St, Burbank, CA 91505. The listed phone number is (818) 843-8268.

What is Evergreen Retirement Residence'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 Retirement Residence was last updated on May 14, 2021. 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.