Evergreen Care Center Llc in Appleton - Skilled Nursing Facility
Evergreen Care Center Llc - NPI 1316939861
Evergreen Care Center Llc is a Skilled Nursing Facility in Appleton, Wisconsin. Evergreen Care Center Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Evergreen Care Center Llc is 1316939861. The last update date is 2015-05-27.
Evergreen Care Center Llc's current location address is 1726 N Ballard Rd, Appleton, Wisconsin. You can contact this provider via phone number 9209919072 and fax number 9207494021. The mailing address for Evergreen Care Center Llc is 1726 N Ballard Rd, Appleton, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Care Center Llc |
|---|---|
| Address | 1726 N Ballard Rd, Appleton, Wisconsin |
| Phone Number | 9209919072 |
| Fax Number | 9207494021 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CFO |
|---|---|
| Authorized Official Name | Parkins M Robert |
| Telephone Number | 9203649754 |
NPI Number Detail
| NPI Number | 1316939861 |
|---|---|
| Provider Enumeration Date | 2005-08-19 |
| Last Updated Date | 2015-05-27 |
Provider Mailing Address Detail
| Address | 1726 N Ballard Rd |
|---|---|
| City | Appleton |
| State | Wisconsin (WI) |
| Post Code | 549112444 |
| Phone Number | 9209919072 |
| Fax Number | 9207494021 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 2896 |
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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 |
|---|---|---|---|
| 20192000 | WI | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Evergreen Care Center Llc by the Centers for Medicare & Medicaid Services?
The Evergreen Care Center Llc has been issued the NPI (National Provider Identifier) 1316939861. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Evergreen Care Center Llc's facilities are situated?
The facilities of Evergreen Care Center Llc are physically located at the following address: 1726 N Ballard Rd, Appleton, WI, 549112444.
What is the Evergreen Care Center Llc's area of specialization and corresponding taxonomy classification?
The Evergreen Care Center Llc's specialty field is Skilled Nursing Facility, and it falls under the taxonomy code 314000000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1316939861 to Evergreen Care Center Llc?
The Centers for Medicare & Medicaid Services originally issued the 1316939861 to Evergreen Care Center Llc on 2005-08-19.
As of what date were the details pertaining to Evergreen Care Center Llc last refreshed?
The information related to the Evergreen Care Center Llc, including its address, specialty, and other relevant details, was last updated on 2015-05-27.