Evergreen At Tacoma, L.L.C. in Vancouver - Skilled Nursing Facility
Evergreen At Tacoma, L.L.C. - NPI 1659326338
Evergreen At Tacoma, L.L.C. is a Skilled Nursing Facility in Vancouver, Washington. Evergreen At Tacoma, L.L.C. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Evergreen At Tacoma, L.L.C. is 1659326338. The last update date is 2017-01-30.
Evergreen At Tacoma, 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 Tacoma, 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 Tacoma, 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 | 1659326338 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| 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 | PENDING |
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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 |
|---|---|---|---|
| 4113973 | WA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Evergreen At Tacoma, L.L.C. by the Centers for Medicare & Medicaid Services?
The Evergreen At Tacoma, L.L.C. has been issued the NPI (National Provider Identifier) 1659326338. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Evergreen At Tacoma, L.L.C.'s physical address?
The Evergreen At Tacoma, L.L.C. is physically located at 4601 Ne 77Th Ave, in the city of Vancouver, WA, with the postal code 986626736.
What is Evergreen At Tacoma, L.L.C.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Evergreen At Tacoma, L.L.C. is Skilled Nursing Facility, and the corresponding taxonomy classification code for this specialized field is 314000000X.
On what date did the Evergreen At Tacoma, L.L.C. receive its 1659326338 assignment from the Centers for Medicare & Medicaid Services?
The Evergreen At Tacoma, L.L.C. was assigned its 1659326338 by the Centers for Medicare & Medicaid Services on 2006-05-23.
As of what date were the details pertaining to Evergreen At Tacoma, L.L.C. last refreshed?
The information related to the Evergreen At Tacoma, L.L.C., including its address, specialty, and other relevant details, was last updated on 2017-01-30.