Evergreen At Bakersfield, L.L.C. in Bakersfield - Skilled Nursing Facility
Evergreen At Bakersfield, L.L.C. - NPI 1255389318
Evergreen At Bakersfield, L.L.C. is a Skilled Nursing Facility in Bakersfield, California. Evergreen At Bakersfield, L.L.C. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Evergreen At Bakersfield, L.L.C. is 1255389318. The last update date is 2013-02-25.
Evergreen At Bakersfield, L.L.C.'s current location address is 6212 Tudor Way, Bakersfield, California. You can contact this provider via phone number 6618713133 and fax number 6618711388. The mailing address for Evergreen At Bakersfield, L.L.C. is 6212 Tudor Way, Bakersfield, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen At Bakersfield, L.L.C. |
|---|---|
| Address | 6212 Tudor Way, Bakersfield, California |
| Phone Number | 6618713133 |
| Fax Number | 6618711388 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Patterson L. Dale |
| Telephone Number | 3608926628 |
NPI Number Detail
| NPI Number | 1255389318 |
|---|---|
| Provider Enumeration Date | 2006-05-04 |
| Last Updated Date | 2013-02-25 |
Provider Mailing Address Detail
| Address | 6212 Tudor Way |
|---|---|
| City | Bakersfield |
| State | California (CA) |
| Post Code | 933067067 |
| Phone Number | 6618713133 |
| Fax Number | 6618711388 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 120000170 |
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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 |
|---|---|---|---|
| LTC55260I | CA | -- |
Post Comment/ Review Below
What is the Evergreen At Bakersfield, L.L.C.'s unique identification number?
The Evergreen At Bakersfield, L.L.C. has been assigned the NPI (National Provider Identifier) Number 1255389318 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Evergreen At Bakersfield, L.L.C.?
The Evergreen At Bakersfield, L.L.C. is situated at 6212 Tudor Way, in the city of Bakersfield, state of CA, with the zip code 933067067.
What is Evergreen At Bakersfield, L.L.C.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Evergreen At Bakersfield, L.L.C. is Skilled Nursing Facility, and the taxonomy code that classifies this field of practice is 314000000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1255389318 to Evergreen At Bakersfield, L.L.C.?
The Centers for Medicare & Medicaid Services originally issued the 1255389318 to Evergreen At Bakersfield, L.L.C. on 2006-05-04.
When was the information regarding Evergreen At Bakersfield, L.L.C. most recently updated?
The details pertaining to the Evergreen At Bakersfield, L.L.C., including its address, specialty, and other relevant information, were last refreshed on 2013-02-25.
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