Evergreen Nursing Home, Llc

LBN: Evergreen Nursing Home, Llc
Evergreen Nursing Home, Llc is an health care organization with primary practice located at 100 Sanders Dr , Evergreen AL 36401-3306. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility, which is considered as the primary health care specialty. Evergreen Nursing Home, Llc can be contacted via phone (251) 578-3783, or through Dunnam, Noel via phone (251) 743-7137.

Contact Information

Primary practice address
100 Sanders Dr Evergreen AL 36401-3306
Phone: (251) 578-3783
Fax: (251) 578-3786
Website:
Map and Directions
Authorized official contact:
Name: Dunnam, Noel
Phone: (251) 743-7137

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Nursing Facility/Intermediate Care Facility 313M00000X 12509 Alabama

Profile Details

NPI number 1285693762
LBN Legal business name Evergreen Nursing Home, Llc
DBA Doing business as
Authorized official Dunnam, Noel
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2006
Last updated Mar 6th, 2024 - about 2 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 1285693762 NPPES
Alabama MEDICAID 4750890S

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