Evergreen At Castro Valley, L.L.C. in Castro Valley - Skilled Nursing Facility
Evergreen At Castro Valley, L.L.C. - NPI 1740238575
Evergreen At Castro Valley, L.L.C. is a Skilled Nursing Facility in Castro Valley, California. Evergreen At Castro Valley, L.L.C. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Evergreen At Castro Valley, L.L.C. is 1740238575. The last update date is 2020-08-22.
Evergreen At Castro Valley, L.L.C.'s current location address is 20259 Lake Chabot Rd, Castro Valley, California. You can contact this provider via phone number 5103513700 and fax number 5108897955. The mailing address for Evergreen At Castro Valley, L.L.C. is 20259 Lake Chabot Rd, Castro Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen At Castro Valley, L.L.C. |
|---|---|
| Address | 20259 Lake Chabot Rd, Castro Valley, California |
| Phone Number | 5103513700 |
| Fax Number | 5108897955 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Martini V. Andrew |
| Telephone Number | 3608926628 |
NPI Number Detail
| NPI Number | 1740238575 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 20259 Lake Chabot Rd |
|---|---|
| City | Castro Valley |
| State | California (CA) |
| Post Code | 945465307 |
| Phone Number | 5103513700 |
| Fax Number | 5108897955 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
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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 |
|---|---|---|---|
| ZZRU5239J | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Evergreen At Castro Valley, L.L.C.?
The Evergreen At Castro Valley, L.L.C. has been issued the NPI (National Provider Identifier) 1740238575 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Evergreen At Castro Valley, L.L.C. located?
The Evergreen At Castro Valley, L.L.C. is located at 20259 Lake Chabot Rd, Castro Valley, CA 945465307.
What is Evergreen At Castro Valley, L.L.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?
The Evergreen At Castro Valley, 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 issue the 1740238575 to Evergreen At Castro Valley, L.L.C.?
The Evergreen At Castro Valley, L.L.C. received its 1740238575 assignment from the Centers for Medicare & Medicaid Services on 2006-05-04.
When was the information related to Evergreen At Castro Valley, L.L.C. most recently updated or refreshed?
The details pertaining to the Evergreen At Castro Valley, L.L.C., including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.