Evergreen Residential Care
NPI 1487719662 · Assisted Living Facility · Salt Lake City, UT
Evergreen Residential Care is a Assisted Living Facility organization in Salt Lake City, UT (NPI 1487719662).
Provider details
- NPI number
- 1487719662
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Melvin Forsman, Owner(801) 272-2601
- License
- 2919 (UT)
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
Registry dates
- Enumerated
- 2006-12-27
- Last updated
- 2020-08-22
Frequently asked questions
- What is Evergreen Residential Care's NPI number?
- Evergreen Residential Care's National Provider Identifier (NPI) is 1487719662, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Residential Care?
- Evergreen Residential Care is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Evergreen Residential Care located?
- Evergreen Residential Care's practice location on file with NPPES is 2374 Evergreen Ave, Salt Lake City, UT 84109-3006.
- What is Evergreen Residential Care's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Residential Care is (801) 272-2601.
- Who is the authorized official for Evergreen Residential Care?
- The authorized official listed on Evergreen Residential Care's NPPES record is Melvin Forsman, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Residential Care's NPI active?
- Yes — Evergreen Residential Care's NPI (1487719662) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.