Empres Post Acute Rehabilitation

LBN: Evergreen At Petaluma, L.L.C.
Empres Post Acute Rehabilitation is an health care organization with primary practice located at 300 Douglas St , Petaluma CA 94952-2503. 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 Petaluma, L.L.C. can be contacted via phone (707) 763-6887, or through Weil, Brent via phone (360) 892-6628.

Contact Information

Primary practice address
300 Douglas St Petaluma CA 94952-2503
Phone: (707) 763-6887
Fax: (707) 763-0314
Website:
Map and Directions
Authorized official contact:
Name: Weil, Brent
Phone: (360) 892-6628

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 010000018 California

Profile Details

NPI number 1104874940
LBN Legal business name Evergreen At Petaluma, L.L.C.
DBA Doing business as Empres Post Acute Rehabilitation
Authorized official Weil, Brent
Entity Organization
Organization subpart 1 Yes
Enumeration date May 4th, 2006
Last updated Jan 30th, 2017 - about 8 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 1104874940 NPPES
California MEDICAID ZZRO6120J

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