EVERGREEN CONVALESCENT HOSPITAL AND REHABILITATION CENTER, INC. is a skilled nursing facility in Modesto, CA. 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. EVERGREEN CONVALESCENT HOSPITAL AND REHABILITATION CENTER, INC. NPI is 1245237965. The provider is registered as an organization entity type.
The provider Is Doing Business As Evergreen Nursing & Rehabilitation Care Center.
The provider's business location address is:
2030 EVERGREEN AVE
MODESTO, CA
ZIP 95350-785
Phone: (209) 577-1055
Fax: (209) 550-3619
The provider's authorized official is Benedict V. Cipponeri .
The authorized official title is Chief Executive Officer and has the following contact phone number (209) 577-1055.
The enumeration date for this NPI number is 7/7/2005 and was last updated on 5/21/2013.