Evergreen At Tracy, L.L.C. in Vancouver - Skilled Nursing Facility
Evergreen At Tracy, L.L.C. - NPI 1316995152
Evergreen At Tracy, L.L.C. is a Skilled Nursing Facility in Vancouver, Washington. Evergreen At Tracy, L.L.C. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Evergreen At Tracy, L.L.C. is 1316995152. The last update date is 2017-01-30.
Evergreen At Tracy, 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 Tracy, 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 Tracy, 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 | 1316995152 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| 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 | 100000285 |
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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 |
|---|---|---|---|
| LTC55245I | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Evergreen At Tracy, L.L.C.?
The Evergreen At Tracy, L.L.C. has been issued the NPI (National Provider Identifier) 1316995152 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 Tracy, L.L.C. located?
The Evergreen At Tracy, L.L.C. is located at 4601 Ne 77Th Ave, Vancouver, WA 986626736.
What is the area of specialization for Evergreen At Tracy, L.L.C., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Evergreen At Tracy, L.L.C. is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of expertise is 314000000X.
When was the Evergreen At Tracy, L.L.C.'s 1316995152 issued?
The Evergreen At Tracy, L.L.C.'s 1316995152 was issued on 2006-05-04.
When was the information regarding Evergreen At Tracy, L.L.C. most recently updated?
The details pertaining to the Evergreen At Tracy, L.L.C., including its address, specialty, and other relevant information, were last refreshed on 2017-01-30.
NPI Number: 1588667679
Address: 9104 Babcock Blvd, Pittsburgh, PA