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Evergreen Living #5

Adult Care Home Facility in Leicester, NC · enumerated 2007 · authorized official Young Lee, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053431957

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Registry record

Entity type Organization (Type 2)
Legal business name Evergreen Living #5
Practice address 231 Country Time Circle, Leicester, NC, 28748
Phone (828) 779-5588
Enumeration date Apr 2, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

311ZA0620X Adult Care Home Facility Nursing & Custodial Care Facilities · License FCL-011-218 (NC) Primary

Authorized official

Name Young Lee
Title Owner
Phone (828) 779-5588

Other identifiers

Identifier Type State Issuer
7805444 Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Evergreen Living #5?
NPPES lists Young Lee (Owner) as the authorized official for this organization.
What is the NPI number for Evergreen Living #5?
The NPI for Evergreen Living #5 is 1053431957, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.