Evergreen Group Home
NPI 1841452109 · Intellectual Disabilities Intermediate Care Facility · Urbana, MO
Evergreen Group Home is a Intellectual Disabilities Intermediate Care Facility organization in Urbana, MO (NPI 1841452109).
Provider details
- NPI number
- 1841452109
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Gary Boggs, Director(417) 722-4416
- License
- LC0556542 (MO)
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
17 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)
- Other name
- Pineview Group Home
Registry dates
- Enumerated
- 2008-06-27
- Last updated
- 2008-06-27
Frequently asked questions
- What is Evergreen Group Home's NPI number?
- Evergreen Group Home's National Provider Identifier (NPI) is 1841452109, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Evergreen Group Home?
- Evergreen Group Home is classified in the NPPES registry as Intellectual Disabilities Intermediate Care Facility (Nursing & Custodial Care Facilities).
- Where is Evergreen Group Home located?
- Evergreen Group Home's practice location on file with NPPES is 27 Hopper Trl, Urbana, MO 65767-9234.
- What is Evergreen Group Home's phone number?
- The practice phone number listed in the NPPES registry for Evergreen Group Home is (417) 722-4416.
- Who is the authorized official for Evergreen Group Home?
- The authorized official listed on Evergreen Group Home's NPPES record is Gary Boggs, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Evergreen Group Home's NPI active?
- Yes — Evergreen Group Home's NPI (1841452109) is active in the NPPES registry as of the last update on 2008-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.