Johnson Evergreen Corporation
Skilled Nursing Facility in Stafford Springs, Connecticut
1053427609- Practice location
- 205 Chestnut Hill RD, Stafford Springs, CT 06076-4005
- Phone
- 860-684-8714
- Fax
- 860-684-8723
- Last updated
- May 14, 2015
Johnson Evergreen Corporation is a healthcare organization based in Stafford Springs, CT. Johnson Evergreen Corporation practices in Stafford Springs, CT. The NPI Number for Johnson Evergreen Corporation is 1053427609 and holds a License No. 2081-c (CT). The current practice location address for Johnson Evergreen Corporation is 205 Chestnut Hill RD, Stafford Springs, CT 06076-4005 and can be reached out via phone at 860-684-8714 and via fax at 860-684-8723.
Provider Profile Details
- NPI Number
- 1053427609
- Provider Name
- Johnson Evergreen Corporation
- Provider Entity Type
- Organization
- Address
- 205 Chestnut Hill RD, Stafford Springs, CT 06076-4005
- Phone Number
- 860-684-8714
- Fax Number
- 860-684-8723
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Mrs. Anna Romanowski · Director Of Reimbursement · 860-684-8714
- Other Names
- Evergreen Health Care Center (Other Name)
- Provider Enumeration Date
- August 23, 2006
- Last Update Date
- May 14, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 205 Chestnut Hill RD
Stafford Springs, CT 06076-4005 - City
- Stafford Springs
- State
- Connecticut
- Zip
- 06076-4005
- Phone Number
- 860-684-8714
- Fax Number
- 860-684-8723
Provider Business Mailing Address Details
- Address
- 205 Chestnut Hill RD
Stafford Springs, CT 06076-4005 - City
- Stafford Springs
- State
- CT
- Zip
- 06076-4005
- Phone Number
- 860-684-8714
- Fax Number
- 860-684-8723
License Information
- License Number
- 2081-c
- License State
- CT
- Taxonomy
- Skilled Nursing Facility · 314000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Johnson Evergreen Corporation?
The NPI number of Johnson Evergreen Corporation is 1053427609. It was assigned on August 23, 2006 and is currently active in the NPPES registry.
What is the specialty of Johnson Evergreen Corporation?
Johnson Evergreen Corporation is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X), licensed in CT under license number 2081-c.
Where does Johnson Evergreen Corporation practice?
The practice location is 205 Chestnut Hill RD, Stafford Springs, CT 06076-4005. The office can be reached at 860-684-8714 (phone) or 860-684-8723 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053427609 directly on the NPPES registry website.