Evergreen at Lakeport, L.L.C.
NPI 1699723460 · Skilled Nursing Facility · Lakeport, CA
Evergreen at Lakeport, L.L.C. is a Skilled Nursing Facility organization in Lakeport, CA (NPI 1699723460).
Provider details
- NPI number
- 1699723460
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Parent organization
- Empres California Healthcare, LLC
- Organization subpart
- Yes
- Authorized official
- Brent Weil, Ceo and Manager(360) 892-6628
- License
- 010000142 (CA)
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
20 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 Lakekport Healthcare
Registry dates
- Enumerated
- 2006-05-04
- Last updated
- 2017-01-30
Frequently asked questions
- What is Evergreen at Lakeport, L.L.C.'s NPI number?
- Evergreen at Lakeport, L.L.C.'s National Provider Identifier (NPI) is 1699723460, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen at Lakeport, L.L.C.?
- Evergreen at Lakeport, L.L.C. is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Evergreen at Lakeport, L.L.C. located?
- Evergreen at Lakeport, L.L.C.'s practice location on file with NPPES is 1291 Craig Ave, Lakeport, CA 95453-5704.
- What is Evergreen at Lakeport, L.L.C.'s phone number?
- The practice phone number listed in the NPPES registry for Evergreen at Lakeport, L.L.C. is (707) 263-6382.
- Who is the authorized official for Evergreen at Lakeport, L.L.C.?
- The authorized official listed on Evergreen at Lakeport, L.L.C.'s NPPES record is Brent Weil, Ceo and Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen at Lakeport, L.L.C.'s NPI active?
- Yes — Evergreen at Lakeport, L.L.C.'s NPI (1699723460) is active in the NPPES registry as of the last update on 2017-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.