Evergreen Kitsap, L.L.C. in Vancouver - Skilled Nursing Facility
Evergreen Kitsap, L.L.C. - NPI 1770578791
Evergreen Kitsap, L.L.C. is a Skilled Nursing Facility in Vancouver, Washington. Evergreen Kitsap, L.L.C. practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Evergreen Kitsap, L.L.C. is 1770578791. The last update date is 2011-06-03.
Evergreen Kitsap, 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 Kitsap, L.L.C. is 4601 Ne 77th Ave, Vancouver, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Kitsap, L.L.C. |
|---|---|
| Address | 4601 Ne 77th Ave, Vancouver, Washington |
| Phone Number | 3608926628 |
| Fax Number | 3608825793 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Patterson L. Dale |
| Telephone Number | 3608926628 |
NPI Number Detail
| NPI Number | 1770578791 |
|---|---|
| Provider Enumeration Date | 2005-09-15 |
| Last Updated Date | 2011-06-03 |
Provider Mailing Address Detail
| Address | 4601 Ne 77th Ave |
|---|---|
| City | Vancouver |
| State | Washington (WA) |
| Post Code | 986626729 |
| Phone Number | 3608926628 |
| Fax Number | 3608825793 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
| Licence No | 1367 |
|
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 |
|---|---|---|---|
| 1367 | WA | STATE NURSING HOME NUMBER | |
| 4111407 | WA | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Evergreen Kitsap, L.L.C. by the Centers for Medicare & Medicaid Services?
The Evergreen Kitsap, L.L.C. has been issued the NPI (National Provider Identifier) 1770578791. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Evergreen Kitsap, L.L.C.?
The Evergreen Kitsap, L.L.C. is physically situated at 4601 Ne 77Th Ave, in the city of Vancouver, state of WA, with the postal code 986626729.
What is Evergreen Kitsap, 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 Kitsap, 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 Kitsap, L.L.C. receive its 1770578791 assignment from the Centers for Medicare & Medicaid Services?
The Evergreen Kitsap, L.L.C. was assigned its 1770578791 by the Centers for Medicare & Medicaid Services on 2005-09-15.
As of what date were the details pertaining to Evergreen Kitsap, L.L.C. last refreshed?
The information related to the Evergreen Kitsap, L.L.C., including its address, specialty, and other relevant details, was last updated on 2011-06-03.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY