Evergreen Place LLC
NPI 1487164505 · Assisted Living Facility · West Valley City, UT
Evergreen Place LLC is a Assisted Living Facility organization in West Valley City, UT (NPI 1487164505).
Provider details
- NPI number
- 1487164505
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Parent organization
- 82230602
- Organization subpart
- Yes
- Authorized official
- Jorge Gonzalez Villarruel, Owner(801) 921-0070
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
8 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
Registry dates
- Enumerated
- 2017-10-03
- Last updated
- 2017-10-03
Frequently asked questions
- What is Evergreen Place LLC's NPI number?
- Evergreen Place LLC's National Provider Identifier (NPI) is 1487164505, 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 3481 W 3100 S, West Valley City, UT 84119-2559.
- 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 (1487164505) is active in the NPPES registry as of the last update on 2017-10-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.