OrganizationActive
Evergreen Living #4
NPI 1609997519 · Adult Care Home Facility · Leicester, NC
Evergreen Living #4 is a Adult Care Home Facility organization in Leicester, NC (NPI 1609997519).
Provider details
- NPI number
- 1609997519
- 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-011-217 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 index)
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
230 Country Time Circle
Leicester, NC 28748
Phone: (828) 779-5588
Street-level locationGet directions
Mailing address
Po Box 2077
Leicester, NC 28748-2077
Registry dates
- Enumerated
- 2007-04-02
- Last updated
- 2020-08-22
Frequently asked questions
- What is Evergreen Living #4's NPI number?
- Evergreen Living #4's National Provider Identifier (NPI) is 1609997519, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Living #4?
- Evergreen Living #4 is classified in the NPPES registry as Adult Care Home Facility (Nursing & Custodial Care Facilities).
- Where is Evergreen Living #4 located?
- Evergreen Living #4's practice location on file with NPPES is 230 Country Time Circle, Leicester, NC 28748.
- What is Evergreen Living #4's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Living #4 is (828) 779-5588.
- Who is the authorized official for Evergreen Living #4?
- The authorized official listed on Evergreen Living #4'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 #4's NPI active?
- Yes — Evergreen Living #4's NPI (1609997519) 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.