Evergreen At Park Royal Ii, L.L.C. in Vancouver - Skilled Nursing Facility
Evergreen At Park Royal Ii, L.L.C. - NPI 1093700353
Evergreen At Park Royal Ii, L.L.C. is a Skilled Nursing Facility in Vancouver, Washington. Evergreen At Park Royal Ii, L.L.C. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Evergreen At Park Royal Ii, L.L.C. is 1093700353. The last update date is 2017-01-30.
Evergreen At Park Royal Ii, L.L.C.'s current location address is 4601 Ne 77th Ave, Vancouver, Washington. You can contact this provider via phone number 3608926628 and fax number 3608825793. The mailing address for Evergreen At Park Royal Ii, L.L.C. is 4601 Ne 77th Ave, Vancouver, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen At Park Royal Ii, L.L.C. |
|---|---|
| Address | 4601 Ne 77th Ave, Vancouver, Washington |
| Phone Number | 3608926628 |
| Fax Number | 3608825793 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO AND MA |
|---|---|
| Authorized Official Name | Weil Brent |
| Telephone Number | 3608926628 |
NPI Number Detail
| NPI Number | 1093700353 |
|---|---|
| Provider Enumeration Date | 2005-09-13 |
| Last Updated Date | 2017-01-30 |
Provider Mailing Address Detail
| Address | 4601 Ne 77th Ave |
|---|---|
| City | Vancouver |
| State | Washington (WA) |
| Post Code | 986626736 |
| Phone Number | 3608926628 |
| Fax Number | 3608825793 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | NH1336 |
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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 |
|---|---|---|---|
| 4113361 | WA | -- | |
| NH1336 | STATE NH# |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Evergreen At Park Royal Ii, L.L.C. by the Centers for Medicare & Medicaid Services?
The Evergreen At Park Royal Ii, L.L.C. has been assigned the NPI (National Provider Identifier) 1093700353 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Evergreen At Park Royal Ii, L.L.C. is physically located?
The Evergreen At Park Royal Ii, L.L.C. is physically situated at the following address: 4601 Ne 77Th Ave, Vancouver, WA, 986626736.
What is Evergreen At Park Royal Ii, L.L.C.'s area of expertise and its corresponding taxonomy classification?
The Evergreen At Park Royal Ii, L.L.C.'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 At Park Royal Ii, L.L.C. receive the assignment of its 1093700353 from the Centers for Medicare & Medicaid Services?
The Evergreen At Park Royal Ii, L.L.C. was issued its 1093700353 by the Centers for Medicare & Medicaid Services on 2005-09-13.
As of what date were the details pertaining to Evergreen At Park Royal Ii, L.L.C. last refreshed?
The information related to the Evergreen At Park Royal Ii, L.L.C., including its address, specialty, and other relevant details, was last updated on 2017-01-30.