# EVERGREEN LIVING INNOVATIONS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Evergreen Community of Johnson County
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356492649
- **Authorized official:** MS. K J LANGLAIS (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (913) 477-8227

## Contact information

- **Practice address:** 11875 S SUNSET DR STE 100, OLATHE, KS 66061-2794
- **Practice address phone:** (913) 477-8227
- **Practice address fax:** (913) 477-8001
- **Mailing address:** 11875 S SUNSET DR STE 100, OLATHE, KS 66061-2794
- **Mailing address phone:** (913) 477-8227
- **Mailing address fax:** (913) 477-8001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N046029 | KS | Yes |

## Other

- **Enumeration date:** 01/15/2007
- **Last updated:** 04/08/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100451870A | — | KS |