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

Evergreen Congregate, LLC

Organization Physical Disabilities Residential Treatment Facility · NPI 1558015248

Evergreen Congregate, LLC is a Physical Disabilities Residential Treatment Facility in Costa Mesa, California. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

823 Towne St
Costa Mesa, CA 92627-3509
Phone: (949) 397-0658
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Disabilities Residential Treatment Facility (primary) Taxonomy 320700000X

Record details

NPI number1558015248
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adam Green — Owner · (949) 397-0658
NPI enumeratedFebruary 10, 2022
Last updated in NPPESFebruary 10, 2022
Certification dateFebruary 10, 2022
Mailing address27702 Crown Valley Pkwy, Ladera Ranch, CA 92694-0608

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