Evergreen Retirement Community, Inc.

LBN: Evergreen Retirement Community, Inc.
Evergreen Retirement Community, Inc. is an health care organization with primary practice located at 1130 N Westfield St , Oshkosh WI 54902-3217. 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 Retirement Community, Inc. can be contacted via phone (920) 233-2340, or through Bellin, Peggy F via phone (920) 237-6200.

Contact Information

Primary practice address
1130 N Westfield St Oshkosh WI 54902-3217
Phone: (920) 233-2340
Fax: (920) 237-2109
Website:
Map and Directions
Authorized official contact:
Name: Bellin, Peggy F Registered Nurse (RN)
Phone: (920) 237-6200

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 2057 Wisconsin

Profile Details

NPI number 1144213281
LBN Legal business name Evergreen Retirement Community, Inc.
DBA Doing business as
Authorized official Bellin, Peggy F Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 24th, 2005
Last updated Jul 29th, 2022 - about 2 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 1144213281 NPPES
Wisconsin MEDICAID 20136400

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