Evergreen At Shelton, L.L.C. in Vancouver - Skilled Nursing Facility
Evergreen At Shelton, L.L.C. - NPI 1427006220
Evergreen At Shelton, L.L.C. is a Skilled Nursing Facility in Vancouver, Washington. Evergreen At Shelton, L.L.C. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Evergreen At Shelton, L.L.C. is 1427006220. The last update date is 2022-02-03.
Evergreen At Shelton, 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 Shelton, 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 Shelton, 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 | Miller J. Michael |
| Telephone Number | 3608926628 |
NPI Number Detail
| NPI Number | 1427006220 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2022-02-03 |
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 | 1324 |
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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 |
|---|---|---|---|
| 4113247 | WA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Evergreen At Shelton, L.L.C. by the Centers for Medicare & Medicaid Services (CMS)?
The Evergreen At Shelton, L.L.C. has been assigned the NPI (National Provider Identifier) 1427006220. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Evergreen At Shelton, L.L.C.?
The Evergreen At Shelton, L.L.C. is physically situated at 4601 Ne 77Th Ave, in the city of Vancouver, state of WA, with the postal code 986626736.
What is Evergreen At Shelton, L.L.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Evergreen At Shelton, L.L.C.'s specialized field of practice is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of specialization is 314000000X.
On what date did the Evergreen At Shelton, L.L.C. receive its 1427006220 assignment from the Centers for Medicare & Medicaid Services?
The Evergreen At Shelton, L.L.C. was assigned its 1427006220 by the Centers for Medicare & Medicaid Services on 2006-05-04.
When was the Evergreen At Shelton, L.L.C.'s information last updated?
The Evergreen At Shelton, L.L.C.'s information was last updated on 2022-02-03.