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Evergreen Manor Retirement Home

Assisted Living Facility in Safety Harbor, FL · enumerated 2008 · authorized official Yee-Chun Kapusinsky, Administrator.

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

National Provider Identifier

1366697153

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Registry record

Entity type Organization (Type 2)
Legal business name Evergreen Manor Retirement Home
Practice address 3297 State Road 580, Safety Harbor, FL, 34695
Phone (727) 724-3776
Enumeration date Nov 21, 2008
Last updated in NPPES Nov 21, 2008

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License AL8760 (FL) Primary

Authorized official

Name Yee-Chun Kapusinsky
Title Administrator
Phone (727) 480-2180

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 Manor Retirement Home?
NPPES lists Yee-Chun Kapusinsky (Administrator) as the authorized official for this organization.
What is the NPI number for Evergreen Manor Retirement Home?
The NPI for Evergreen Manor Retirement Home is 1366697153, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-11-21.