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JOHNSON EVERGREEN CORPORATION NPI 1053427609


NPI Information

NPI: 1053427609
Provider Name: JOHNSON EVERGREEN CORPORATION

Other Name: EVERGREEN HEALTH CARE CENTER

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization

CLIA Number: 07D0861583

Address:
205 CHESTNUT HILL RD
STAFFORD SPRINGS, CT
ZIP 06076
Phone: (860) 684-8714
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JOHNSON EVERGREEN CORPORATION is a skilled nursing facility in Stafford Springs, CT. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. JOHNSON EVERGREEN CORPORATION NPI is 1053427609. The provider is registered as an organization entity type.
The provider Other Name Is Evergreen Health Care Center.

The provider's business location address is:

205 CHESTNUT HILL RD
STAFFORD SPRINGS, CT
ZIP 06076-005
Phone: (860) 684-8714
Fax: (860) 684-8723

The provider's authorized official is Anna Romanowski .
The authorized official title is Director Of Reimbursement and has the following contact phone number (860) 684-8714.

The CLIA number assigned to this NPI record is 07D0861583 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 5/14/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1314000000XSkilled Nursing Facility2081-CCONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1833OTHERCONNECTICUTANTHEM BLUE CROSS BLUE SHIELD
2A3796830OTHERCONNECTICUTOXFORD
344044OTHERCONNECTICUTWELLCARE
4712385OTHERCONNECTICUTCONNECTICARE PROVIDER NUM
5000020529MEDICAIDCONNECTICUT
6075326MEDICARE OSCAR/CERTIFICATIONCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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