Evergreens Senior Healthcare System

LBN: The Evergreens, Inc.
Evergreens Senior Healthcare System is an health care organization with primary practice located at 4007 W Wendover Ave , Greensboro NC 27407-1904. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Adult Care Home, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. The Evergreens, Inc. can be contacted via phone (336) 292-8620, or through Gardner, Marilyn via phone (336) 292-8620.

Contact Information

Primary practice address
4007 W Wendover Ave Greensboro NC 27407-1904
Phone: (336) 292-8620
Fax: (336) 854-7122
Website:
Map and Directions
Authorized official contact:
Name: Gardner, Marilyn LNHA
Phone: (336) 292-8620

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Adult Care Home 311ZA0620X NH0073 North Carolina
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH0073 North Carolina

Profile Details

NPI number 1366465403
LBN Legal business name The Evergreens, Inc.
DBA Doing business as Evergreens Senior Healthcare System
Authorized official Gardner, Marilyn LNHA
Entity Organization
Organization subpart 1 No
Enumeration date Jul 26th, 2006
Last updated Nov 15th, 2007 - about 17 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 1366465403 NPPES
North Carolina MEDICAID 3405016
North Carolina Other 40251
North Carolina Other 00829
North Carolina MEDICAID 3406162

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