OrganizationActive
Evergreen at Fullerton, L.L.C.
NPI 1104874239 · Skilled Nursing Facility · Fullerton, CA
Provider details
- NPI number
- 1104874239
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Empres California Healthcare, LLC
- Organization subpart
- Yes
- Authorized official
- Dale Patterson, Manager(360) 892-6628
- License
- 060000205 (CA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2222 N Harbor Blvd
Fullerton, CA 92835-2605
Phone: (714) 992-5701
Fax: (714) 526-4884
Street-level locationGet directions
Mailing address
2222 N Harbor Blvd
Fullerton, CA 92835-2605
Other names (DBA / former)
- Doing business as
- Fullerton Post Acute Care
Registry dates
- Enumerated
- 2006-05-04
- Last updated
- 2014-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.