Evergreen At Ely, L.L.C.

LBN: Evergreen At Ely, L.L.C.
Evergreen At Ely, L.L.C. is an health care organization with primary practice located at 1500 Avenue G , Ely NV 89301-2539. 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 At Ely, L.L.C. can be contacted via phone (775) 289-8801, or through Preimesberger, James Robert via phone (213) 220-4808.

Contact Information

Primary practice address
1500 Avenue G Ely NV 89301-2539
Phone: (775) 289-8801
Fax: (775) 289-3208
Website:
Map and Directions
Authorized official contact:
Name: Preimesberger, James Robert
Phone: (213) 220-4808

Health care specialties

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

Profile Details

NPI number 1093339947
LBN Legal business name Evergreen At Ely, L.L.C.
DBA Doing business as
Authorized official Preimesberger, James Robert
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2020
Last updated Jun 5th, 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 1093339947 NPPES
Nevada MEDICAID 1917920

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