Evergreen Senior Living,inc
NPI 1073919783ActiveOrganization· Assisted Living Facility· Woodland Hills, CA
Assisted Living Facility in Woodland Hills, California, registered in NPPES in November 2014. The authorized official on file is Jacob Fahimipour, Administrator.
Overview
| NPI | 1073919783 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 6, 2014 |
| Last updated in NPPES | Nov 6, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | 197608576 | CA |
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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