Evergreen Residence in Reno - Assisted Living Facility
Evergreen Residence - NPI 1467519538
Evergreen Residence is a Assisted Living Facility in Reno, Nevada. Evergreen Residence practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Evergreen Residence is 1467519538. The last update date is 2008-07-22.
Evergreen Residence's current location address is 1305 Kings Ct, Reno, Nevada. You can contact this provider via phone number 7757879520 and fax number 7757477417. The mailing address for Evergreen Residence is 1305 Kings Ct, Reno, Nevada. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Residence |
|---|---|
| Address | 1305 Kings Ct, Reno, Nevada |
| Phone Number | 7757879520 |
| Fax Number | 7757477417 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Woo Amei |
| Telephone Number | 7757879520 |
NPI Number Detail
| NPI Number | 1467519538 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2008-07-22 |
Provider Mailing Address Detail
| Address | 1305 Kings Ct |
|---|---|
| City | Reno |
| State | Nevada (NV) |
| Post Code | 895033521 |
| Phone Number | 7757879520 |
| Fax Number | 7757477417 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | 3275AGC-6 |
|
Definition: 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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5716003 | NV | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Evergreen Residence by the Centers for Medicare & Medicaid Services?
The Evergreen Residence has been issued the NPI (National Provider Identifier) 1467519538 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Evergreen Residence?
The Evergreen Residence is situated at 1305 Kings Ct, in the city of Reno, state of NV, with the zip code 895033521.
What is the Evergreen Residence's specialty and taxonomy code?
The Evergreen Residence's specialty is Assisted Living Facility, and the corresponding taxonomy code is 310400000X.
When did the Evergreen Residence receive its 1467519538?
The Evergreen Residence was issued its 1467519538 on 2007-01-02, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Evergreen Residence most recently updated or revised?
The details related to Evergreen Residence, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-22.
NPI Number: 1952305922
Address: 1111 Professional Blvd, Dalton, GA