Evergreen Living #6 in Leicester - Adult Care Home
Evergreen Living #6 - NPI 1962522862
Evergreen Living #6 is a Adult Care Home in Leicester, North Carolina. Evergreen Living #6 practices all healthcare services and medical treatments related to Adult Care Home. The NPI Number for Evergreen Living #6 is 1962522862. The last update date is 2020-08-22.
Evergreen Living #6'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 #6 is Po Box 2077, Leicester, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Living #6 |
|---|---|
| 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 | 1962522862 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| 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-011-219 |
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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 |
|---|---|---|---|
| 7805445 | NC | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Evergreen Living #6 by the Centers for Medicare & Medicaid Services?
The Evergreen Living #6 has been issued the NPI (National Provider Identifier) 1962522862, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Evergreen Living #6 is geographically located?
The Evergreen Living #6 is physically situated at the following location: Po Box 2077, Leicester, NC, 287482077.
What is the Evergreen Living #6's specialty and taxonomy code?
The Evergreen Living #6's specialty is Adult Care Home, and the corresponding taxonomy code is 311Za0620X.
On what date did Evergreen Living #6 receive its 1962522862 assignment from the Centers for Medicare & Medicaid Services?
The Evergreen Living #6 was assigned its 1962522862 on 2007-04-02, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Evergreen Living #6 most recently updated or revised?
The information pertaining to Evergreen Living #6, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.