Evergreen Residential Care

LBN: Evergreen Residential Care
Evergreen Residential Care is an health care organization with primary practice located at 2374 Evergreen Ave , Salt Lake City UT 84109-3006. 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 Residential Care can be contacted via phone (801) 272-2601, or through Forsman, Melvin Darcy via phone (801) 272-2601.

Contact Information

Primary practice address
2374 Evergreen Ave Salt Lake City UT 84109-3006
Phone: (801) 272-2601
Fax: (801) 278-3697
Website:
Map and Directions
Authorized official contact:
Name: Forsman, Melvin Darcy
Phone: (801) 272-2601

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 2919 Utah

Profile Details

NPI number 1487719662
LBN Legal business name Evergreen Residential Care
DBA Doing business as
Authorized official Forsman, Melvin Darcy
Entity Organization
Organization subpart 1 No
Enumeration date Dec 27th, 2006
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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