Evergreen Court Home For Adults Sp Llc

LBN: Evergreen Court Home For Adults Sp Llc
Evergreen Court Home For Adults Sp Llc is an health care organization with primary practice located at 65 Lafayette St , Spring Valley NY 10977-5184. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Evergreen Court Home For Adults Sp Llc can be contacted via phone (845) 356-7700, or through Schonberger, Joseph via phone (732) 363-7770.

Contact Information

Primary practice address
65 Lafayette St Spring Valley NY 10977-5184
Phone: (845) 356-7700
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Schonberger, Joseph
Phone: (732) 363-7770

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 620-F-078 New York

Profile Details

NPI number 1295284453
LBN Legal business name Evergreen Court Home For Adults Sp Llc
DBA Doing business as
Authorized official Schonberger, Joseph
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2016
Last updated Sep 29th, 2016 - about 9 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 1295284453 NPPES
New York MEDICAID 04338354

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