Evergreen Washington Healthcare Enumclaw, L.L.C. in Vancouver - Skilled Nursing Facility
Evergreen Washington Healthcare Enumclaw, L.L.C. - NPI 1457346785
Evergreen Washington Healthcare Enumclaw, L.L.C. is a Skilled Nursing Facility in Vancouver, Washington. Evergreen Washington Healthcare Enumclaw, L.L.C. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Evergreen Washington Healthcare Enumclaw, L.L.C. is 1457346785. The last update date is 2022-02-02.
Evergreen Washington Healthcare Enumclaw, 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 Washington Healthcare Enumclaw, L.L.C. is 4601 Ne 77th Ave, Vancouver, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Washington Healthcare Enumclaw, L.L.C. |
|---|---|
| Address | 4601 Ne 77th Ave, Vancouver, Washington |
| Phone Number | 3608926628 |
| Fax Number | 3608825793 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO AND AS |
|---|---|
| Authorized Official Name | Miller J. Michael |
| Telephone Number | 3608926628 |
NPI Number Detail
| NPI Number | 1457346785 |
|---|---|
| Provider Enumeration Date | 2005-09-13 |
| Last Updated Date | 2022-02-02 |
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 | NH1266 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4112660 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Evergreen Washington Healthcare Enumclaw, L.L.C. by the Centers for Medicare & Medicaid Services?
The Evergreen Washington Healthcare Enumclaw, L.L.C. has been issued the NPI (National Provider Identifier) 1457346785 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Evergreen Washington Healthcare Enumclaw, L.L.C. is physically located?
The Evergreen Washington Healthcare Enumclaw, L.L.C. is physically situated at the following address: 4601 Ne 77Th Ave, Vancouver, WA, 986626736.
What is Evergreen Washington Healthcare Enumclaw, L.L.C.'s area of expertise and its corresponding taxonomy classification?
The Evergreen Washington Healthcare Enumclaw, 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 Washington Healthcare Enumclaw, L.L.C. receive its 1457346785 assignment from the Centers for Medicare & Medicaid Services?
The Evergreen Washington Healthcare Enumclaw, L.L.C. was assigned its 1457346785 by the Centers for Medicare & Medicaid Services on 2005-09-13.
As of what date was the information regarding Evergreen Washington Healthcare Enumclaw, L.L.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Evergreen Washington Healthcare Enumclaw, L.L.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-02-02.