Evergreen Place Beardstown Llc

LBN: Evergreen Place Beardstown Llc
Evergreen Place Beardstown Llc is an health care organization with primary practice located at 8570 Saint Lukes Dr , Beardstown IL 62618-9200. 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 Place Beardstown Llc can be contacted via phone (217) 323-1860, or through Underwood, David M via phone (309) 823-7135.

Contact Information

Primary practice address
8570 Saint Lukes Dr Beardstown IL 62618-9200
Phone: (217) 323-1860
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Underwood, David M
Phone: (309) 823-7135

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1063974418
LBN Legal business name Evergreen Place Beardstown Llc
DBA Doing business as
Authorized official Underwood, David M
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 4th, 2019
Last updated Apr 4th, 2019 - about 5 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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