Evergreen Living #5

LBN: Evergreen Living #5
Evergreen Living #5 is an health care organization with primary practice located at 352 Family Ridge Road , Leicester NC 28748. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as the primary health care specialty. Evergreen Living #5 can be contacted via phone (828) 779-5588, or through Lee, Young S via phone (828) 779-5588.

Contact Information

Primary practice address
352 Family Ridge Road Leicester NC 28748
Phone: (828) 779-5588
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Lee, Young S
Phone: (828) 779-5588

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X FCL-011-197 North Carolina

Profile Details

NPI number 1659494300
LBN Legal business name Evergreen Living #5
DBA Doing business as
Authorized official Lee, Young S
Entity Organization
Organization subpart 1 No
Enumeration date Apr 9th, 2007
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 1659494300 NPPES
North Carolina MEDICAID 7805220

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