Evergreen Opco LLC
NPI 1003626862ActiveOrganization· Custodial Care Facility· Eugene, OR
Custodial Care Facility in Eugene, Oregon, registered in NPPES in January 2025. The authorized official on file is Trevor Wart, Manager.
Overview
| NPI | 1003626862 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 13, 2025 |
| Last updated in NPPES | Jan 13, 2025 |
| Certified by provider | Jan 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Custodial Care Facility Primary | 311Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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