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

Evergreen Living Home Inc

Organization Adult Care Home Facility · NPI 1811018674

Evergreen Living Home Inc 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
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

353 Family Ridge Rd
Leicester, NC 28748
Phone: (828) 779-5588
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X · Licence FCL-011-198 (NC)

Record details

NPI number1811018674
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Young Lee — Owner · (828) 779-5588
Other names Evergreen Living Home #12
NPI enumeratedApril 2, 2007
Last updated in NPPESSeptember 8, 2023
Certification dateSeptember 8, 2023
Mailing addressPo Box 2077, Leicester, NC 28748-2077

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