Evergreen Valley Nursing Home in Morrisonville - Skilled Nursing Facility
Evergreen Valley Nursing Home - NPI 1477540193
Evergreen Valley Nursing Home is a Skilled Nursing Facility in Morrisonville, New York. Evergreen Valley Nursing Home practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Evergreen Valley Nursing Home is 1477540193. The last update date is 2015-09-21.
Evergreen Valley Nursing Home's current location address is 8 Bushey Blvd, Morrisonville, New York. You can contact this provider via phone number 5185633261 and fax number 5185621367. The mailing address for Evergreen Valley Nursing Home is 8 Bushey Blvd, Morrisonville, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Valley Nursing Home |
|---|---|
| Address | 8 Bushey Blvd, Morrisonville, New York |
| Phone Number | 5185633261 |
| Fax Number | 5185621367 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Zagelbaum Ephraim |
| Telephone Number | 9145977600 |
NPI Number Detail
| NPI Number | 1477540193 |
|---|---|
| Provider Enumeration Date | 2005-09-29 |
| Last Updated Date | 2015-09-21 |
Provider Mailing Address Detail
| Address | 8 Bushey Blvd |
|---|---|
| City | Morrisonville |
| State | New York (NY) |
| Post Code | 129013785 |
| Phone Number | 5185633261 |
| Fax Number | 5185621367 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 0901301N |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 308801 | NY | -- | |
| 2329757 | NY | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Evergreen Valley Nursing Home by the Centers for Medicare & Medicaid Services (CMS)?
The Evergreen Valley Nursing Home has been assigned the NPI (National Provider Identifier) 1477540193. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Evergreen Valley Nursing Home's physical address?
The Evergreen Valley Nursing Home is physically located at 8 Bushey Blvd, in the city of Morrisonville, NY, with the postal code 129013785.
What is Evergreen Valley Nursing Home's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Evergreen Valley Nursing Home is Skilled Nursing Facility, and the corresponding taxonomy classification code for this specialized field is 314000000X.
When did the Evergreen Valley Nursing Home receive its 1477540193?
The Evergreen Valley Nursing Home was issued its 1477540193 on 2005-09-29, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Evergreen Valley Nursing Home most recently updated or revised?
The details related to Evergreen Valley Nursing Home, including its address, specialty, and other relevant information, were last updated or revised on 2015-09-21.
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