Evergreen At Carson City, L.L.C. in Carson City - Skilled Nursing Facility

Evergreen At Carson City, L.L.C. - NPI 1558319889

Evergreen At Carson City, L.L.C. is a Skilled Nursing Facility in Carson City, Nevada. Evergreen At Carson City, L.L.C. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Evergreen At Carson City, L.L.C. is 1558319889. The last update date is 2017-01-30.

Evergreen At Carson City, L.L.C.'s current location address is 3050 N Ormsby Blvd, Carson City, Nevada. You can contact this provider via phone number 7758414646 and fax number 7758414650. The mailing address for Evergreen At Carson City, L.L.C. is 3050 N Ormsby Blvd, Carson City, Nevada. To know further, please read the information below!

Provider Profile Detail

Provider Organization Evergreen At Carson City, L.L.C.
Address 3050 N Ormsby Blvd, Carson City, Nevada
Phone Number 7758414646
Fax Number 7758414650
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CEO AND MA
Authorized Official Name Weil Brent
Telephone Number 3608926628

NPI Number Detail

NPI Number 1558319889
Provider Enumeration Date 2006-05-05
Last Updated Date 2017-01-30

Provider Mailing Address Detail

Address 3050 N Ormsby Blvd
City Carson City
State Nevada (NV)
Post Code 897038378
Phone Number 7758414646
Fax Number 7758414650

Provider's Primary Taxonomy Detail

Speciality Skilled Nursing Facility
Taxonomy 314000000X
Licence No 2355SNF-15
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1913305 NV --

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FAQs about Evergreen At Carson City, L.L.C.

What is the unique 10-digit identification code issued to Evergreen At Carson City, L.L.C. by the Centers for Medicare & Medicaid Services?

The Evergreen At Carson City, L.L.C. has been assigned the NPI (National Provider Identifier) 1558319889 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Evergreen At Carson City, L.L.C.'s physical address?

The Evergreen At Carson City, L.L.C. is physically located at 3050 N Ormsby Blvd, in the city of Carson City, NV, with the postal code 897038378.

What is Evergreen At Carson City, L.L.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?

The Evergreen At Carson City, L.L.C.'s area of specialization is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this field of practice is 314000000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1558319889 to Evergreen At Carson City, L.L.C.?

The Centers for Medicare & Medicaid Services originally issued the 1558319889 to Evergreen At Carson City, L.L.C. on 2006-05-05.

When was the Evergreen At Carson City, L.L.C.'s information last updated?

The Evergreen At Carson City, L.L.C.'s information was last updated on 2017-01-30.

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