Evergreen Manor, Inc in Lewiston - Skilled Nursing Facility
Evergreen Manor, Inc - NPI 1356401202
Evergreen Manor, Inc is a Skilled Nursing Facility in Lewiston, Maine. Evergreen Manor, Inc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Evergreen Manor, Inc is 1356401202. The last update date is 2008-04-20.
Evergreen Manor, Inc's current location address is 179 Lisbon St, Lewiston, Maine. You can contact this provider via phone number 2077863554 and fax number 2077868507. The mailing address for Evergreen Manor, Inc is 179 Lisbon St, Lewiston, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Manor, Inc |
|---|---|
| Address | 179 Lisbon St, Lewiston, Maine |
| Phone Number | 2077863554 |
| Fax Number | 2077868507 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VP OF FINA |
|---|---|
| Authorized Official Name | Cyr G Glen |
| Telephone Number | 2077863554 |
NPI Number Detail
| NPI Number | 1356401202 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2008-04-20 |
Provider Mailing Address Detail
| Address | 179 Lisbon St |
|---|---|
| City | Lewiston |
| State | Maine (ME) |
| Post Code | 42407248 |
| Phone Number | 2077863554 |
| Fax Number | 2077868507 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 36405 |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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What is the unique 10-digit identifier code issued to Evergreen Manor, Inc by the Centers for Medicare & Medicaid Services?
The Evergreen Manor, Inc has been assigned the NPI (National Provider Identifier) 1356401202 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Evergreen Manor, Inc is located?
The Evergreen Manor, Inc is situated at the following address: 179 Lisbon St, Lewiston, ME, 42407248.
What is Evergreen Manor, Inc's area of expertise and its corresponding taxonomy classification?
The Evergreen Manor, Inc's field of specialization is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Evergreen Manor, Inc receive its 1356401202 assignment from the Centers for Medicare & Medicaid Services?
The Evergreen Manor, Inc was assigned its 1356401202 by the Centers for Medicare & Medicaid Services on 2006-12-11.
When was the information pertaining to Evergreen Manor, Inc most recently updated or revised?
The details related to Evergreen Manor, Inc, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-20.