Evergreen Health Care Center, Llc

LBN: Evergreen Health Care Center, Llc
Evergreen Health Care Center, Llc is an health care organization with primary practice located at 701 Clay Ave , Scranton PA 18510-1759. 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 Health Care Center, Llc can be contacted via phone (570) 344-2800, or through Kelly, Michael P via phone (570) 969-2188.

Contact Information

Primary practice address
701 Clay Ave Scranton PA 18510-1759
Phone: (570) 344-2800
Fax: (570) 344-1977
Website:
Map and Directions
Authorized official contact:
Name: Kelly, Michael P
Phone: (570) 969-2188

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 133802 Pennsylvania

Profile Details

NPI number 1811208077
LBN Legal business name Evergreen Health Care Center, Llc
DBA Doing business as
Authorized official Kelly, Michael P
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2010
Last updated Sep 7th, 2010 - about 14 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 1811208077 NPPES
Pennsylvania MEDICAID 1024773960001

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