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

Evergreen Living #4

Organization Adult Care Home Facility · NPI 1255452017

Evergreen Living #4 is an Adult Care Home Facility in Leicester, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007

Practice location Address checks out

351 Family Ridge Rd
Leicester, NC 28748
Phone: (828) 779-5588
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X · Licence FCL-011-196 (NC)

Record details

NPI number1255452017
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Young Lee — Owner · (828) 779-5588
NPI enumeratedApril 2, 2007
Last updated in NPPESAugust 22, 2020
Mailing addressPo Box 2077, Leicester, NC 28748-2077

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