OrganizationActive
Evergreen Place LLC
NPI 1215456777 · Assisted Living Facility · Midvale, UT
Evergreen Place LLC is a Assisted Living Facility organization in Midvale, UT (NPI 1215456777).
Provider details
- NPI number
- 1215456777
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Jorge Gonzalez Villarruel, Owner(801) 921-0070
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
163 E 7800 S
Midvale, UT 84047-2612
Phone: (801) 921-0070
Street-level locationGet directions
Mailing address
Po Box 9193
Midvale, UT 84047-9193
Additional practice locations (1)
- 3481 W 3100 SWest Valley, UT 84119-2559Phone: (801) 921-0070
Registry dates
- Enumerated
- 2017-09-15
- Last updated
- 2018-03-17
Frequently asked questions
- What is Evergreen Place LLC's NPI number?
- Evergreen Place LLC's National Provider Identifier (NPI) is 1215456777, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Place LLC?
- Evergreen Place LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Evergreen Place LLC located?
- Evergreen Place LLC's practice location on file with NPPES is 163 E 7800 S, Midvale, UT 84047-2612.
- What is Evergreen Place LLC's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Place LLC is (801) 921-0070.
- Who is the authorized official for Evergreen Place LLC?
- The authorized official listed on Evergreen Place LLC's NPPES record is Jorge Gonzalez Villarruel, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Place LLC's NPI active?
- Yes — Evergreen Place LLC's NPI (1215456777) is active in the NPPES registry as of the last update on 2018-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.