EVERGREEN LIVING #7
NPI 1639290497
Custodial Care Facility - Adult Care Home in Leicester, NC

NPI Status: Active since April 02, 2007

Contact Information

233 COUNTRY TIME CIRCLE
LEICESTER, NC
ZIP 28748
Phone: (828) 779-5588

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  • Organization
  • Custodial Care Facility
  • Adult Care Home

About EVERGREEN LIVING #7

This page provides the complete NPI Profile along with additional information for Evergreen Living #7, a provider established in Leicester, North Carolina operating as a Custodial Care Facility, focusing in adult care home . The healthcare provider is registered in the NPI registry with number 1639290497 assigned on April 2007. The practitioner's primary taxonomy code is 311ZA0620X with license number FCL-011-220 (NC). The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Young S Lee (Owner)

NPI
1639290497
Provider Name
EVERGREEN LIVING #7
Entity Type
Organization
Location Address
233 COUNTRY TIME CIRCLE LEICESTER, NC 28748
Location Phone
(828) 779-5588
Mailing Address
PO BOX 2077 LEICESTER, NC 28748
Mailing Phone
(828) 779-5588
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-02-2007
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Custodial Care Facility Adult Care Home

Taxonomy Code
311ZA0620X
Type
Nursing & Custodial Care Facilities
License No.
FCL-011-220
License State
NC
Taxonomy Description
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

YOUNG S LEE

Authorized Official Title
OWNER
Authorized Official Phone
(828) 779-5588

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
7805446MEDICAID (05)NC 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1639290497
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669490418
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 4 + 9 + 0 + 4 + 1 + 8 + 24 = 73
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 73 = 77

The NPI number 1639290497 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1285834176EVERGREEN LIVING HOME # 7
Organization
Assisted Living Facility233 COUNTRY TIME CIRCLE
LEICESTER, NC 28748
(828) 683-2740
1366825036SMITH STREET VILLAGE FAMILY CARE HOME, LLC
Organization
Custodial Care Facility (Adult Care Home)233 COUNTRY TIME CIRCLE
LEICESTER, NC 28748
(828) 676-5600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639290497, enumerated in the NPI registry as an "organization" on April 02, 2007

The provider is located at 233 Country Time Circle Leicester, Nc 28748 and the phone number is (828) 779-5588

This medical organization specializes in Custodial Care Facility with taxonomy code 311ZA0620X with a focus in Adult Care Home

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 02, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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