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Evergreen Care Center Llc
Skilled Nursing Facility in Shawano, Wisconsin
NPI 1316939861

Evergreen Care Center Llc is a Skilled Nursing Facility based in Appleton, WI. Evergreen Care Center Llc practices in Shawano, WI. The NPI Number for Evergreen Care Center Llc is 1316939861 and holds a License No. 2896 (Wisconsin).

The current practice location address for Evergreen Care Center Llc is 1250 S Evergreen St, Shawano, WI and can be reached out via phone at 715-526-3107 and via fax at 715-524-8037.

Location: 1250 S Evergreen St, Shawano, WI, 54911-2444
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316939861
Provider Name
Evergreen Care Center Llc
Credential
Provider Entity Type
Organization
Address
1250 S Evergreen St, Shawano, WI, 54911-2444
Phone Number
715-526-3107
Fax Number
715-524-8037
Provider Enumeration Date
08/19/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20192000 05 WI
institution
Provider Business Practice Location Address Details
Address
1250 S Evergreen St
City
Shawano
State
Wisconsin
Zip
54166-3514
Phone Number
715-526-3107
Fax Number
715-524-8037
person
Provider Business Mailing Address Details
Address
1250 S Evergreen St
City
Shawano
State
Wisconsin
Zip
54166-3514
Phone Number
715-526-3107
Fax Number
715-524-8037
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
2896 (Wisconsin)
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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