Evergreen Assisted Living Community LLC
NPI 1780206250 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Roanoke, VA
Evergreen Assisted Living Community LLC is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility organization in Roanoke, VA (NPI 1780206250).
Provider details
- NPI number
- 1780206250
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Patience Odupelu, Owner/ Program Director(540) 613-0757
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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 Group Home Services
Registry dates
- Enumerated
- 2020-05-07
- Last updated
- 2020-05-07
- Certified
- 2020-05-07
Frequently asked questions
- What is Evergreen Assisted Living Community LLC's NPI number?
- Evergreen Assisted Living Community LLC's National Provider Identifier (NPI) is 1780206250, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Assisted Living Community LLC?
- Evergreen Assisted Living Community LLC is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (Residential Treatment Facilities).
- Where is Evergreen Assisted Living Community LLC located?
- Evergreen Assisted Living Community LLC's practice location on file with NPPES is 4222 Moomaw Ave Nw, Roanoke, VA 24017-4314.
- What is Evergreen Assisted Living Community LLC's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Assisted Living Community LLC is (540) 613-0757.
- Who is the authorized official for Evergreen Assisted Living Community LLC?
- The authorized official listed on Evergreen Assisted Living Community LLC's NPPES record is Patience Odupelu, Owner/ Program Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Assisted Living Community LLC's NPI active?
- Yes — Evergreen Assisted Living Community LLC's NPI (1780206250) is active in the NPPES registry as of the last update on 2020-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.