EVERGREEN CHATEAU INCORPORATED NPI 1235375890

NPI Information

  • NPI: 1235375890
  • Provider Name: EVERGREEN CHATEAU INCORPORATED
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Address: 13530 SHERMAN WAY
    VAN NUYS, CA
    ZIP 91405
  • Phone: (818) 902-9501

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NPI Details

EVERGREEN CHATEAU INCORPORATED is an assisted living facility in Van Nuys, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. EVERGREEN CHATEAU INCORPORATED NPI is 1235375890. The provider is registered as an organization entity type.

The provider's business location address is:

13530 SHERMAN WAY
VAN NUYS, CA
ZIP 91405-830
Phone: (818) 902-9501

The provider's authorized official is Craig Matthew Michayluk .
The authorized official title is President and has the following contact phone number (818) 359-9447.

The enumeration date for this NPI number is 12/31/2008 and was last updated on 12/31/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility197607308CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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