Evergreen Residence

LBN: Evergreen Residence
Evergreen Residence is an health care organization with primary practice located at 1305 Kings Ct , Reno NV 89503-3521. 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 Residence can be contacted via phone (775) 787-9520, or through Woo, Amei via phone (775) 787-9520.

Contact Information

Primary practice address
1305 Kings Ct Reno NV 89503-3521
Phone: (775) 787-9520
Fax: (775) 747-7417
Website:
Map and Directions
Authorized official contact:
Name: Woo, Amei
Phone: (775) 787-9520

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 3275AGC-6 Nevada

Profile Details

NPI number 1467519538
LBN Legal business name Evergreen Residence
DBA Doing business as
Authorized official Woo, Amei
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2007
Last updated Jul 22nd, 2008 - about 16 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 1467519538 NPPES
Nevada MEDICAID 005716003

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