EVERGREEN RESIDENTIAL CARE – Assisted Living Facility, NPI 1487719662

EVERGREEN RESIDENTIAL CARE is a healthcare provider. based in Salt lake city, Utah. specializing in Assisted Living Facility. The organization holds a License No. 2919 (UT). The NPI Number for EVERGREEN RESIDENTIAL CARE is 1487719662

Main info

Organization
Name
EVERGREEN RESIDENTIAL CARE
NPI
1487719662
Phone
(801) 272-2601
Address
2374 EVERGREEN AVE
Authorized Official
MR. MELVIN DARCY FORSMAN OWNER
Enumeration Date
27 December 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

Provider Addresses for EVERGREEN RESIDENTIAL CARE

  • 2374 EVERGREEN AVE

    SALT LAKE CITY, UT 841093006

    Phone: (801) 272-2601

    Fax: (801) 278-3697

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 84109)

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Reviews

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Frequently asked questions

Can I use this page to confirm EVERGREEN RESIDENTIAL CARE's NPI?
Yes. EVERGREEN RESIDENTIAL CARE is listed with NPI 1487719662 in the public NPI dataset.
Does the file indicate EVERGREEN RESIDENTIAL CARE is practicing under active NPI?
Directory data currently reports EVERGREEN RESIDENTIAL CARE as active.
What is EVERGREEN RESIDENTIAL CARE's specialty?
The listing groups EVERGREEN RESIDENTIAL CARE with Assisted Living Facility. Clinical services aligned with this taxonomy classification.
Where is EVERGREEN RESIDENTIAL CARE based?
EVERGREEN RESIDENTIAL CARE is tied to Salt Lake City, Utah in the data we show; additional addresses may exist on the full record.
What does 'Organization' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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