Evergreen Place LLC
Evergreen Place LLC is a healthcare organization registered as Assisted Living Facility in Midvale, UT, holding Type 2 (organization) NPI 1215456777 since 2017. The authorized official on file is Jorge Gonzalez Villarruel, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1215456777 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Evergreen Place LLC |
| Practice address | 163 E 7800 S, Midvale, UT, 84047 |
| Phone | 8019210070 |
| Enumeration date | 2017-09-15 |
| Last updated in NPPES | 2018-03-17 |
Authorized official
| Name | Jorge Gonzalez Villarruel |
|---|---|
| Title | Owner |
| Phone | 8019210070 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | Primary | — | — |
Copy-ready billing details
Provider: Evergreen Place LLC NPI: 1215456777 Taxonomy: 310400000X (Assisted Living Facility) Address: 163 E 7800 S, Midvale, UT, 84047
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1700959129 | Daisy May Inc. | Organization | Assisted Living Facility | Midvale, UT |
| 1952468837 | Daisymayinc | Organization | Point of Service | Midvale, UT |
Verify this record
Cross-check NPI 1215456777 against the authoritative CMS record: view Evergreen Place LLC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Evergreen Place LLC?
What is the NPI number for Evergreen Place LLC?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-03-17.