Evergreen Place in Ellendale - Assisted Living Facility
Evergreen Place - NPI 1538287263
Evergreen Place is a Assisted Living Facility in Ellendale, North Dakota. Evergreen Place practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Evergreen Place is 1538287263. The last update date is 2020-08-22.
Evergreen Place's current location address is 201 8th St N, Ellendale, North Dakota. You can contact this provider via phone number 7013494550 and fax number 7013494656. The mailing address for Evergreen Place is 201 8th St N, Ellendale, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Place |
|---|---|
| Address | 201 8th St N, Ellendale, North Dakota |
| Phone Number | 7013494550 |
| Fax Number | 7013494656 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Hanson Tony |
| Telephone Number | 7013493312 |
NPI Number Detail
| NPI Number | 1538287263 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 201 8th St N |
|---|---|
| City | Ellendale |
| State | North Dakota (ND) |
| Post Code | 584367341 |
| Phone Number | 7013494550 |
| Fax Number | 7013494656 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | 30729 |
|
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. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 30729 | ND | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Evergreen Place by the Centers for Medicare & Medicaid Services?
The Evergreen Place has been issued the NPI (National Provider Identifier) 1538287263 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Evergreen Place's facilities are situated?
The facilities of Evergreen Place are physically located at the following address: 201 8Th St N, Ellendale, ND, 584367341.
What is Evergreen Place's area of expertise and its corresponding taxonomy classification?
The Evergreen Place's field of specialization is Assisted Living Facility, and it falls under the taxonomy code 310400000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Evergreen Place receive its 1538287263 assignment from the Centers for Medicare & Medicaid Services?
The Evergreen Place was assigned its 1538287263 by the Centers for Medicare & Medicaid Services on 2007-03-27.
As of what date was the information pertaining to Evergreen Place, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Evergreen Place, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.