Gardnerville Health & Rehab Center

LBN: Evergreen At Gardnerville, L.L.C.
Gardnerville Health & Rehab Center is an health care organization with primary practice located at 1573 Muller Pkwy , Gardnerville NV 89410-7918. The organization recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Evergreen At Gardnerville, L.L.C. can be contacted via phone (775) 782-6620, or through Miller, Michael J. via phone (360) 892-6628.

Contact Information

Primary practice address
1573 Muller Pkwy Gardnerville NV 89410-7918
Phone: (775) 782-6620
Fax: (775) 782-6945
Website:
Map and Directions
Authorized official contact:
Name: Miller, Michael J.
Phone: (360) 892-6628

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 3995SNF-5 Nevada

Profile Details

NPI number 1083662514
LBN Legal business name Evergreen At Gardnerville, L.L.C.
DBA Doing business as Gardnerville Health & Rehab Center
Authorized official Miller, Michael J.
Entity Organization
Organization subpart 1 Yes
Enumeration date May 5th, 2006
Last updated Feb 1st, 2022 - about 4 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 1083662514 NPPES
Nevada MEDICAID 100503498

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