Evergreen Castro Valley

LBN: Evergreen At Castro Valley, L.L.C.
Evergreen Castro Valley is an health care organization with primary practice located at 20259 Lake Chabot Rd , Castro Valley CA 94546-5307. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Evergreen At Castro Valley, L.L.C. can be contacted via phone (510) 351-3700, or through Martini, Andrew V. via phone (360) 892-6628.

Contact Information

Primary practice address
20259 Lake Chabot Rd Castro Valley CA 94546-5307
Phone: (510) 351-3700
Fax: (510) 889-7955
Website:
Map and Directions
Authorized official contact:
Name: Martini, Andrew V.
Phone: (360) 892-6628

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X California

Profile Details

NPI number 1740238575
LBN Legal business name Evergreen At Castro Valley, L.L.C.
DBA Doing business as Evergreen Castro Valley
Authorized official Martini, Andrew V.
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1740238575 NPPES
California MEDICAID ZZRU5239J

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