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Evergreen Living Home Inc.

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

1861512972

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Registry record

Entity type Organization (Type 2)
Legal business name Evergreen Living Home Inc.
Other name <Unavail>
Practice address 103 Country Time Ln, Leicester, NC, 28748
Enumeration date Mar 30, 2007
Last updated in NPPES Sep 8, 2023

Taxonomy & classification

311ZA0620X Adult Care Home Facility Nursing & Custodial Care Facilities · License FCL-011-195 (NC) Primary

Authorized official

Name Young Lee
Title Owner

Other identifiers

Identifier Type State Issuer
7805222 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

What is the NPI number for Evergreen Living Home Inc.?
The NPI for Evergreen Living Home Inc. is 1861512972, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Evergreen Living Home Inc.?
NPPES lists Young Lee (Owner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-09-08.