Evergreen Foothills Health And Rehabilitation Center

LBN: Evergreen At Foothills, L.L.C.
Evergreen Foothills Health And Rehabilitation Center is an health care organization with primary practice located at 15810 S 42Nd St , Phoenix AZ 85048-7409. 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 Foothills, L.L.C. can be contacted via phone (480) 759-0358, or through Martini, Andrew V. via phone (360) 892-6628.

Contact Information

Primary practice address
15810 S 42Nd St Phoenix AZ 85048-7409
Phone: (480) 759-0358
Fax: (480) 759-7666
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 NCI-2640 Arizona

Profile Details

NPI number 1437107281
LBN Legal business name Evergreen At Foothills, L.L.C.
DBA Doing business as Evergreen Foothills Health And Rehabilitation Center
Authorized official Martini, Andrew V.
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1437107281 NPPES
Arizona MEDICAID 842965

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