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Evergreen At Tracy, L.l.c.
Skilled Nursing Facility in Tracy, California
NPI 1316995152

Evergreen At Tracy, L.l.c. is a Skilled Nursing Facility based in Vancouver, CA. Evergreen At Tracy, L.l.c. practices in Tracy, CA. The NPI Number for Evergreen At Tracy, L.l.c. is 1316995152 and holds a License No. 100000285 (California).

The current practice location address for Evergreen At Tracy, L.l.c. is 2586 Buthmann Ave, Tracy, CA and can be reached out via phone at 209-832-2273 and via fax at 209-832-0743.

Location: 2586 Buthmann Ave, Tracy, CA, 98662-6736
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316995152
Provider Name
Evergreen At Tracy, L.l.c.
Credential
Provider Entity Type
Organization
Address
2586 Buthmann Ave, Tracy, CA, 98662-6736
Phone Number
209-832-2273
Fax Number
209-832-0743
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC55245I 05 CA
institution
Provider Business Practice Location Address Details
Address
2586 Buthmann Ave
City
Tracy
State
California
Zip
95376-2165
Phone Number
209-832-2273
Fax Number
209-832-0743
person
Provider Business Mailing Address Details
Address
2586 Buthmann Ave
City
Tracy
State
California
Zip
95376-2165
Phone Number
209-832-2273
Fax Number
209-832-0743
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
100000285 (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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