Evergreen Manor

LBN: Essex Healthcare Corporation
Evergreen Manor is an health care organization with primary practice located at 924 Charlies Way , Montpelier OH 43543-1904. The organization recently has only one registered license in Suppliers / Oxygen Equipment & Supplies, which is considered as the primary health care specialty. Essex Healthcare Corporation can be contacted via phone (419) 485-8307, or through Yoder, Keith via phone (614) 416-0600.

Contact Information

Primary practice address
924 Charlies Way Montpelier OH 43543-1904
Phone: (419) 485-8307
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Yoder, Keith
Phone: (614) 416-0600

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Oxygen Equipment & Supplies 332BX2000X

Profile Details

NPI number 1144409988
LBN Legal business name Essex Healthcare Corporation
DBA Doing business as Evergreen Manor
Authorized official Yoder, Keith
Entity Organization
Organization subpart 1 No
Enumeration date Oct 29th, 2007
Last updated Oct 29th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144409988 NPPES
Ohio MEDICAID 2644044

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