Evergreen Terrace Llc in Lakewood - Nursing Facility/intermediate Care Facility
Evergreen Terrace Llc - NPI 1538122031
Evergreen Terrace Llc is a Nursing Facility/intermediate Care Facility in Lakewood, Colorado. Evergreen Terrace Llc practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Evergreen Terrace Llc is 1538122031. The last update date is 2020-08-22.
Evergreen Terrace Llc's current location address is 1625 Simms St, Lakewood, Colorado. You can contact this provider via phone number 3032388161 and fax number 3032382714. The mailing address for Evergreen Terrace Llc is 1625 Simms St, Lakewood, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Terrace Llc |
|---|---|
| Address | 1625 Simms St, Lakewood, Colorado |
| Phone Number | 3032388161 |
| Fax Number | 3032382714 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Zimbelman Michelle |
| Telephone Number | 8162329573 |
NPI Number Detail
| NPI Number | 1538122031 |
|---|---|
| Provider Enumeration Date | 2006-04-07 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1625 Simms St |
|---|---|
| City | Lakewood |
| State | Colorado (CO) |
| Post Code | 802152611 |
| Phone Number | 3032388161 |
| Fax Number | 3032382714 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
| Licence No | 573 |
|
Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5523532 | CO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Evergreen Terrace Llc by the Centers for Medicare & Medicaid Services?
The Evergreen Terrace Llc has been issued the NPI (National Provider Identifier) 1538122031 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 address where Evergreen Terrace Llc is geographically located?
The Evergreen Terrace Llc is physically situated at the following location: 1625 Simms St, Lakewood, CO, 802152611.
What is Evergreen Terrace Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Evergreen Terrace Llc is Nursing Facility/intermediate Care Facility, and the taxonomy code that categorizes this field of expertise is 313M00000X.
When did Evergreen Terrace Llc receive its 1538122031 assignment?
The Evergreen Terrace Llc was assigned its 1538122031 on 2006-04-07, which is the date when this unique identifier was issued to the organization.
When was the information related to Evergreen Terrace Llc most recently updated or refreshed?
The details pertaining to the Evergreen Terrace Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.