Evergreen House Health Center

LBN: Life Care Centers Of America, Inc
Evergreen House Health Center is an health care organization with primary practice located at 1 Evergreen Dr , East Providence RI 02914-1503. 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. Life Care Centers Of America, Inc can be contacted via phone (401) 438-3250, or through Cross, Cindy S. via phone (423) 473-5867.

Contact Information

Primary practice address
1 Evergreen Dr East Providence RI 02914-1503
Phone: (401) 438-3250
Fax: (401) 438-4813
Website:
Map and Directions
Authorized official contact:
Name: Cross, Cindy S.
Phone: (423) 473-5867

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X LTC00686 Rhode Island

Profile Details

NPI number 1316907843
LBN Legal business name Life Care Centers Of America, Inc
DBA Doing business as Evergreen House Health Center
Authorized official Cross, Cindy S.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2006
Last updated Sep 15th, 2021 - about 3 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 1316907843 NPPES
Rhode Island MEDICAID 653

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