Evergreen Terrace Healthcare Community

LBN: Welcov Healthcare Llc
Evergreen Terrace Healthcare Community is an health care organization with primary practice located at 2801 S Highway 169 , Grand Rapids MN 55744-9552. 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. Welcov Healthcare Llc can be contacted via phone (218) 326-3431, or through Dols, Christine via phone (952) 873-7934.

Contact Information

Primary practice address
2801 S Highway 169 Grand Rapids MN 55744-9552
Phone: (218) 326-3431
Fax: (218) 327-3217
Website:
Map and Directions
Authorized official contact:
Name: Dols, Christine
Phone: (952) 873-7934

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 331604 Minnesota

Profile Details

NPI number 1730256207
LBN Legal business name Welcov Healthcare Llc
DBA Doing business as Evergreen Terrace Healthcare Community
Authorized official Dols, Christine
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2006
Last updated May 1st, 2015 - about 10 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 1730256207 NPPES
Minnesota MEDICAID 606318700

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