Evergreen Terrace Llc

LBN: Evergreen Terrace Llc
Evergreen Terrace Llc is an health care organization with primary practice located at 1625 Simms St , Lakewood CO 80215-2611. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Evergreen Terrace Llc can be contacted via phone (303) 238-8161, or through Zimbelman, Michelle via phone (816) 232-9573.

Contact Information

Primary practice address
1625 Simms St Lakewood CO 80215-2611
Phone: (303) 238-8161
Fax: (303) 238-2714
Website:
Map and Directions
Authorized official contact:
Name: Zimbelman, Michelle
Phone: (816) 232-9573

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 0573 Colorado

Profile Details

NPI number 1538122031
LBN Legal business name Evergreen Terrace Llc
DBA Doing business as
Authorized official Zimbelman, Michelle
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1538122031 NPPES
Colorado MEDICAID 05523532

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