Evergreen Living #5 in Leicester - Adult Care Home
Evergreen Living #5 - NPI 1659494300
Evergreen Living #5 is a Adult Care Home in Leicester, North Carolina. Evergreen Living #5 practices all healthcare services and medical treatments related to Adult Care Home. The NPI Number for Evergreen Living #5 is 1659494300. The last update date is 2020-08-22.
Evergreen Living #5's current location address is Po Box 2077, Leicester, North Carolina. You can contact this provider via phone number 8287795588. The mailing address for Evergreen Living #5 is Po Box 2077, Leicester, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Living #5 |
|---|---|
| Address | Po Box 2077, Leicester, North Carolina |
| Phone Number | 8287795588 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Lee S Young |
| Telephone Number | 8287795588 |
NPI Number Detail
| NPI Number | 1659494300 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 2077 |
|---|---|
| City | Leicester |
| State | North Carolina (NC) |
| Post Code | 287482077 |
| Phone Number | 8287795588 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Care Home |
|---|---|
| Taxonomy | 311Za0620X |
| Licence No | FCL-011-197 |
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Definition: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like en |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7805220 | NC | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Evergreen Living #5?
The Evergreen Living #5 has been issued the NPI (National Provider Identifier) 1659494300 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Evergreen Living #5 located?
The Evergreen Living #5 is located at Po Box 2077, Leicester, NC 287482077.
What is Evergreen Living #5's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Evergreen Living #5 is Adult Care Home, and the taxonomy classification code that categorizes this area of expertise is 311Za0620X.
On what date did the Evergreen Living #5 receive its 1659494300 assignment from the Centers for Medicare & Medicaid Services?
The Evergreen Living #5 was assigned its 1659494300 by the Centers for Medicare & Medicaid Services on 2007-04-09.
As of what date were the details related to Evergreen Living #5 most recently updated or revised?
The information pertaining to Evergreen Living #5, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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