Evergreen Opco LLC
Custodial Care Facility · Eugene, OR
Practice location
3760 N Clarey StEugene, OR 97402-8744
- Phone
- (541) 607-9525
NPI record
- NPI
- 1003626862
- Entity type
- Organization (Type 2)
- Enumeration date
- January 13, 2025
- Last updated
- January 13, 2025
- Certified
- January 13, 2025
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Custodial Care Facility Primary | 311Z00000X |
— | — |
Mailing address
609 Lakeview BlvdSandpoint, ID 83864-1120
- Phone
- (503) 706-6918
Authorized official
- Name
- Mr. Trevor Wart
- Title
- Manager
- Phone
- (503) 706-6918
Other names
- Evergreen senior living community; Evergreen memory care community
About Evergreen Opco LLC
Evergreen Opco LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Custodial Care Facility (code 311Z00000X). The practice location is 3760 N Clarey St, Eugene, OR 97402-8744. The NPI number 1003626862 was assigned on January 13, 2025 and the record was last updated on January 13, 2025.
The authorized official for this organization is Mr. Trevor Wart, Manager.
Frequently asked questions
What is the NPI number of Evergreen Opco LLC?
The NPI number is 1003626862.
What is the phone number of Evergreen Opco LLC?
The phone number listed for the practice location is (541) 607-9525.
Where is Evergreen Opco LLC located?
3760 N Clarey St, Eugene, OR 97402-8744.
What is the taxonomy code for Evergreen Opco LLC?
The primary taxonomy code is 311Z00000X – Custodial Care Facility.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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