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

Evergreen Place LLC

Organization Assisted Living Facility · NPI 1487164505

Evergreen Place LLC is an Assisted Living Facility in West Valley City, Utah. Registered with an NPI since 2017.

In the registry since
2017
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

3481 W 3100 S
West Valley City, UT 84119-2559
Phone: (801) 921-0070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X

Record details

NPI number1487164505
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organization82230602
Authorized official Jorge Gonzalez Villarruel — Owner · (801) 921-0070
NPI enumeratedOctober 3, 2017
Last updated in NPPESOctober 3, 2017
Mailing addressPo Box 9193, Midvale, UT 84047-9193

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