Evergreen Living Home Inc.
NPI 1205956398 · Adult Care Home Facility · Leicester, NC
Evergreen Living Home Inc. is a Adult Care Home Facility organization in Leicester, NC (NPI 1205956398).
Provider details
- NPI number
- 1205956398
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Young Lee, Owner(828) 779-5588
- License
- FCL-011-194 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Other names (DBA / former)
- Doing business as
- Evergreen Living Home #2
Registry dates
- Enumerated
- 2007-03-30
- Last updated
- 2023-09-08
- Certified
- 2023-09-08
Frequently asked questions
- What is Evergreen Living Home Inc.'s NPI number?
- Evergreen Living Home Inc.'s National Provider Identifier (NPI) is 1205956398, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Living Home Inc.?
- Evergreen Living Home Inc. is classified in the NPPES registry as Adult Care Home Facility (Nursing & Custodial Care Facilities).
- Where is Evergreen Living Home Inc. located?
- Evergreen Living Home Inc.'s practice location on file with NPPES is 102 Country Time Lane, Leicester, NC 28748.
- What is Evergreen Living Home Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Evergreen Living Home Inc. is (828) 779-5588.
- Who is the authorized official for Evergreen Living Home Inc.?
- The authorized official listed on Evergreen Living Home Inc.'s NPPES record is Young Lee, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Living Home Inc.'s NPI active?
- Yes — Evergreen Living Home Inc.'s NPI (1205956398) is active in the NPPES registry as of the last update on 2023-09-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.