Provider Type Icon

EVERGREEN AT ARVIN L L C NPI 1568410769


NPI Information

NPI: 1568410769
Provider Name: EVERGREEN AT ARVIN L L C

Doing Business As: EVERGREEN ARVIN HEALTHCARE

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization
Address:
323 CAMPUS DR
ARVIN, CA
ZIP 93203
Phone: (661) 854-4475
Get Directions

EVERGREEN AT ARVIN L L C is a skilled nursing facility in Arvin, 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 AT ARVIN L L C NPI is 1568410769. The provider is registered as an organization entity type.
The provider Is Doing Business As Evergreen Arvin Healthcare.

The provider's business location address is:

323 CAMPUS DR
ARVIN, CA
ZIP 93203-047
Phone: (661) 854-4475
Fax: (661) 854-4950

The provider's authorized official is Dale L. Patterson .
The authorized official title is Manager and has the following contact phone number (360) 892-6628.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 1/9/2013.


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 Facility120000167CALIFORNIAYes

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
1LTC55170IMEDICAIDCALIFORNIA
2555170MEDICARE OSCAR/CERTIFICATIONCALIFORNIA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.