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EVANS ELDERLY RESIDENTIAL CARE LLC
NPI 1972953156
Assisted Living Facility in Victorville, CA

Active since June 17, 2016
13947 CASTILLE ST, VICTORVILLE, CA 92392(760) 261-4241 Get Directions Write a Review

NPPES record last updated: June 17, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evans Elderly Residential Care Llc NPPES

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

EVANS ELDERLY RESIDENTIAL CARE LLC (NPI 1972953156) is a healthcare organization registered as an assisted living facility in Victorville, California and active in the NPI registry since June 2016. The organization lists Kelly Evans, Administrator, as its authorized official.

NPPES Registry Identity

NPI1972953156
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameEVANS ELDERLY RESIDENTIAL CARE LLC
Location Address13947 CASTILLE STVictorville, CA 92392-5508
Mailing Address13947 Castille StVictorville, CA 92392-5508
Phone(760) 261-4241
Organization SubpartNo
Authorized OfficialKelly EvansAdministrator · (760) 261-4241
Enumeration DateJune 17, 2016
✔ NPI 1972953156 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 · 366426751
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.
13947 CASTILLE ST, Victorville, CA 92392
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELLY EVANS
Home Health Aide
13947 CASTILLE ST
VICTORVILLE, CA 92392
San Bernardino County (760) 261-4242

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 Evans Elderly Residential Care LLC's NPI number?

The NPI number for Evans Elderly Residential Care LLC is 1972953156. It was assigned to this organization in the NPPES registry on June 17, 2016.

Where is Evans Elderly Residential Care LLC located?

Evans Elderly Residential Care LLC is located at 13947 Castille St, Victorville, CA 92392. The listed phone number is (760) 261-4241.

What is Evans Elderly Residential Care 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 Evans Elderly Residential Care LLC was last updated on June 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.