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

Evergreen Manor Retirement Home

Organization Assisted Living Facility · NPI 1366697153

Evergreen Manor Retirement Home is an Assisted Living Facility in Safety Harbor, Florida. Licensed in Florida. Registered with an NPI since 2008.

Licensed in
FL
In the registry since
2008

Practice location Address checks out

3297 State Road 580
Safety Harbor, FL 34695-4929
Phone: (727) 724-3776
Show map & directions

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

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence AL8760 (FL)

Record details

NPI number1366697153
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yee-Chun Kapusinsky — Administrator · (727) 480-2180
NPI enumeratedNovember 21, 2008
Last updated in NPPESNovember 21, 2008
Mailing address3297 State Road 580, Safety Harbor, FL 34695-4929

Other providers in Safety Harbor