ADULT FAMILY HOME
NPI 1922391408
Custodial Care Facility - Adult Care Home in Vancouver, WA

Q: What is Evergreen Quality Home's NPI number?

The NPI number for Evergreen Quality Home is 1922391408. It was assigned to this organization in the NPPES registry on May 17, 2011. The provider is doing business as Adult Family Home.

Q: What is Evergreen Quality Home's specialty?

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

Active since May 17, 2011

304 NW 102ND ST, VANCOUVER, WA 98685(360) 885-7933(360) 573-7131 Get Directions Write a Review

NPPES record last updated: May 17, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Adult Family Home NPPES

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

ADULT FAMILY HOME (NPI 1922391408) is a healthcare organization registered as an adult care home in Vancouver, Washington and active in the NPI registry since May 2011. The organization lists Marcia Roial-craciun, Provider, as its authorized official.

NPPES Registry Identity

NPI1922391408

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameEVERGREEN QUALITY HOME

Location Address304 NW 102ND STVancouver, WA 98685-5233

Mailing Address304 Nw 102nd StVancouver, WA 98685-5233 · (360) 885-7933 · Fax (360) 573-7131

Phone(360) 885-7933

Fax(360) 573-7131

Organization SubpartNo

Authorized OfficialMarcia Roial-craciunProvider · (360) 885-7933

Enumeration DateMay 17, 2011

✔ NPI 1922391408 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

License✔ Licensed in WA · 654400

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.

304 NW 102ND ST, Vancouver, WA 98685

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Other Names 1

Doing Business AsAdult Family Home

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 Quality Home's NPI number?

The NPI number for Evergreen Quality Home is 1922391408. It was assigned to this organization in the NPPES registry on May 17, 2011. The provider is doing business as Adult Family Home.

Where is Evergreen Quality Home located?

Evergreen Quality Home is located at 304 NW 102nd St, Vancouver, WA 98685. The listed phone number is (360) 885-7933.

What is Evergreen Quality Home'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 Quality Home was last updated on May 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.