Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Evergreen at Holladay, LLC

Organization Skilled Nursing Facility · NPI 1548218050

Evergreen at Holladay, LLC is a Skilled Nursing Facility in Salt Lake City, Utah. Medicare rates this nursing home 2 out of 5. Licensed in Utah.

CMS rating
2 of 5
Licensed in
UT
In the registry since
2006
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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CMS quality rating

2 out of 5 — official nursing home rating from CMS Care Compare (CCN 465049)
Health inspection2.0 / 5
Staffing2.0 / 5
Quality measures4.0 / 5
OwnershipFor profit - Limited Liability company

Practice location Address checks out

4600 S Highland Dr
Salt Lake City, UT 84117-5108
Phone: (801) 272-1892
Fax: (801) 274-2960
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 2005-NCF-609 (UT)

Record details

NPI number1548218050
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationEvergreen Utah Healthcare, LLC
Authorized official Anne Nipp — Manager · (360) 892-6628
Other names Evergreen Canyons Health And Rehabilitation Center
NPI enumeratedMay 5, 2006
Last updated in NPPESJanuary 5, 2010
Mailing address4601 Ne 77th Ave, Suite 300, Vancouver, WA 98662-6729

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