Evergreen Senior Care And Rehab Center

LBN: Evergreen Manor Senior Care Centre, Llc
Evergreen Senior Care And Rehab Center is an health care organization with primary practice located at 111 Evergreen Rd , Springfield MI 49037-7417. The organization recently has 2 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Skilled Nursing Facility, Suppliers / Nursing Facility Supplies. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Evergreen Manor Senior Care Centre, Llc can be contacted via phone (269) 969-6110, or through Sangster, Todd via phone (810) 534-0150.

Contact Information

Primary practice address
111 Evergreen Rd Springfield MI 49037-7417
Phone: (269) 969-6110
Fax: (269) 969-6710
Website:
Map and Directions
Authorized official contact:
Name: Sangster, Todd
Phone: (810) 534-0150

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 134160 Michigan
Suppliers / Nursing Facility Supplies 332BN1400X 134160 Michigan

Profile Details

NPI number 1992855316
LBN Legal business name Evergreen Manor Senior Care Centre, Llc
DBA Doing business as Evergreen Senior Care And Rehab Center
Authorized official Sangster, Todd
Entity Organization
Organization subpart 1 No
Enumeration date Jan 10th, 2007
Last updated May 5th, 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 1992855316 NPPES
Michigan MEDICAID 4406078
Michigan Other 09903
Michigan Other 0A30320

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