# EVERGREEN RESIDENCE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467519538
- **Authorized official:** MRS. AMEI WOO (ADMINISTRATOR)
- **Authorized official phone:** (775) 787-9520

## Contact information

- **Practice address:** 1305 KINGS CT, RENO, NV 89503-3521
- **Practice address phone:** (775) 787-9520
- **Practice address fax:** (775) 747-7417
- **Mailing address:** 1305 KINGS CT, RENO, NV 89503-3521
- **Mailing address phone:** (775) 787-9520
- **Mailing address fax:** (775) 747-7417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 3275AGC-6 | NV | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 07/22/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 005716003 | — | NV |