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Evergreen At Heartwood Avenue, L.l.c.
Skilled Nursing Facility in Vallejo, California
NPI 1245288083

Evergreen At Heartwood Avenue, L.l.c. is a Skilled Nursing Facility based in Vancouver, CA. Evergreen At Heartwood Avenue, L.l.c. practices in Vallejo, CA. The NPI Number for Evergreen At Heartwood Avenue, L.l.c. is 1245288083 and holds a License No. 010000020 (California).

The current practice location address for Evergreen At Heartwood Avenue, L.l.c. is 1044 Heartwood Ave, Vallejo, CA and can be reached out via phone at 707-643-2267 and via fax at 707-643-5209.

Location: 1044 Heartwood Ave, Vallejo, CA, 98662-6736
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1245288083
Provider Name
Evergreen At Heartwood Avenue, L.l.c.
Credential
Provider Entity Type
Organization
Address
1044 Heartwood Ave, Vallejo, CA, 98662-6736
Phone Number
707-643-2267
Fax Number
707-643-5209
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC55184H 05 CA
institution
Provider Business Practice Location Address Details
Address
1044 Heartwood Ave
City
Vallejo
State
California
Zip
94591-5637
Phone Number
707-643-2267
Fax Number
707-643-5209
person
Provider Business Mailing Address Details
Address
1044 Heartwood Ave
City
Vallejo
State
California
Zip
94591-5637
Phone Number
707-643-2267
Fax Number
707-643-5209
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
010000020 (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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