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EVERGREEN ADULT HOME CARE AT TUSTIN LLC
NPI 1891547717
Assisted Living Facility in Tustin, CA

Active since April 03, 2024
14611 DANBERRY CIR, TUSTIN, CA 92780(951) 893-0859 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Adult Home Care At Tustin Llc NPPES

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

EVERGREEN ADULT HOME CARE AT TUSTIN LLC (NPI 1891547717) is a healthcare organization registered as an assisted living facility in Tustin, California and active in the NPI registry since April 2024. The organization lists Tamanna Rahman, Administrator, as its authorized official.

NPPES Registry Identity

NPI1891547717
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEVERGREEN ADULT HOME CARE AT TUSTIN LLC
Location Address14611 DANBERRY CIRTustin, CA 92780-6648
Mailing Address14611 Danberry CirTustin, CA 92780-6648 · (951) 893-0859
Phone(951) 893-0859
Organization SubpartNo
Authorized OfficialTamanna RahmanAdministrator · (951) 893-0859
Enumeration DateApril 3, 2024
NPPES CertifiedApril 3, 2024
✔ NPI 1891547717 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.
14611 DANBERRY CIR, Tustin, CA 92780
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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 Adult Home Care At Tustin LLC's NPI number?

The NPI number for Evergreen Adult Home Care At Tustin LLC is 1891547717. It was assigned to this organization in the NPPES registry on April 3, 2024.

Where is Evergreen Adult Home Care At Tustin LLC located?

Evergreen Adult Home Care At Tustin LLC is located at 14611 Danberry Cir, Tustin, CA 92780. The listed phone number is (951) 893-0859.

What is Evergreen Adult Home Care At Tustin LLC'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 Adult Home Care At Tustin LLC was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.