Organization · Type 2 NPI
Evergreen Care Services LLC
Intellectual Disabilities Intermediate Care Facility · Canoga Park, CA
NPI number
1326978487
Active
Practice location
7732 Shoup Avenue
Canoga Park, CA 91304-2436
Fax (310) 271-4010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1326978487
Evergreen Care Services LLC's National Provider Identifier is 1326978487, issued on May 21, 2026. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Canoga Park, CA. The record was last updated on May 21, 2026.