EV BLOOMINGTON LIMITED PARTNERSHIP NPI 1881104289

NPI Information

EV BLOOMINGTON LIMITED PARTNERSHIP is an assisted living facility in Bloomington, IN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. EV BLOOMINGTON LIMITED PARTNERSHIP NPI is 1881104289. The provider is registered as an organization entity type.
The provider Is Doing Business As Evergreen Village At Bloomington.

The provider's business location address is:

3607 SOUTH HEIRLOOM DRIVE
BLOOMINGTON, IN
ZIP 47401
Phone: (812) 336-2719
Fax: (812) 336-2723

The provider's authorized official is Greg Echols .
The authorized official title is Co-president Of Management Agent and has the following contact phone number (815) 935-1992.

The CLIA number assigned to this NPI record is 15D2148859 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/11/2017 and was last updated on 10/11/2023.

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:

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