OrganizationActive
Evergreen Living Home Inc.
NPI 1861512972 · Adult Care Home Facility · Leicester, NC
Provider details
- NPI number
- 1861512972
- 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-011-195 (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
103 Country Time Ln
Leicester, NC 28748
Phone: (828) 779-5588
Street-level locationGet directions
Mailing address
Po Box 2077
Leicester, NC 28748-2077
Other names (DBA / former)
- Doing business as
- Evergreen Living Home #3
Registry dates
- Enumerated
- 2007-03-30
- Last updated
- 2023-09-08
- Certified
- 2023-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.