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Evergreen Convalescent Hospital And Rehabilitation Center, Inc.
Skilled Nursing Facility in Modesto, California
NPI 1245237965

Evergreen Convalescent Hospital And Rehabilitation Center, Inc. is a Skilled Nursing Facility based in Modesto, CA. Evergreen Convalescent Hospital And Rehabilitation Center, Inc. practices in Modesto, CA. The NPI Number for Evergreen Convalescent Hospital And Rehabilitation Center, Inc. is 1245237965 and holds a License No. 100000038 (California).

The current practice location address for Evergreen Convalescent Hospital And Rehabilitation Center, Inc. is 2030 Evergreen Ave, Modesto, CA and can be reached out via phone at 209-577-1055 and via fax at 209-550-3619.

Location: 2030 Evergreen Ave, Modesto, CA, 95350-3785
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245237965
Provider Name
Evergreen Convalescent Hospital And Rehabilitation Center, Inc.
Credential
Provider Entity Type
Organization
Address
2030 Evergreen Ave, Modesto, CA, 95350-3785
Phone Number
209-577-1055
Fax Number
209-550-3619
Provider Enumeration Date
07/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13676588 01 CA STATE-COMP
ZZR55118F 05 CA
institution
Provider Business Practice Location Address Details
Address
2030 Evergreen Ave
City
Modesto
State
California
Zip
95350-3785
Phone Number
209-577-1055
Fax Number
209-550-3619
person
Provider Business Mailing Address Details
Address
2030 Evergreen Ave
City
Modesto
State
California
Zip
95350-3785
Phone Number
209-577-1055
Fax Number
209-550-3619
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
100000038 (California)
Definition
(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.
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