Springs Road Healthcare

LBN: Evergreen At Springs Road, L.L.C.
Springs Road Healthcare is an health care organization with primary practice located at 1527 Springs Rd , Vallejo CA 94591-5448. 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 Springs Road, L.L.C. can be contacted via phone (707) 643-2793, or through Weil, Brent via phone (360) 892-6628.

Contact Information

Primary practice address
1527 Springs Rd Vallejo CA 94591-5448
Fax: (707) 554-2876
Website:
Authorized official contact:
Name: Weil, Brent

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 110000003 California

Profile Details

NPI number 1023066966
LBN Legal business name Evergreen At Springs Road, L.L.C.
DBA Doing business as Springs Road Healthcare
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 1023066966 NPPES
California MEDICAID ZZR05222J

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