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

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone 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.