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Evergreen Terrace Llc
Nursing Facility/Intermediate Care Facility in Lakewood, Colorado
NPI 1538122031

Evergreen Terrace Llc is a Nursing Facility/Intermediate Care Facility based in Lakewood, CO. Evergreen Terrace Llc practices in Lakewood, CO. The NPI Number for Evergreen Terrace Llc is 1538122031 and holds a License No. 0573 (Colorado).

The current practice location address for Evergreen Terrace Llc is 1625 Simms St, Lakewood, CO and can be reached out via phone at 303-238-8161 and via fax at 303-238-2714.

Location: 1625 Simms St, Lakewood, CO, 80215-2611
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538122031
Provider Name
Evergreen Terrace Llc
Credential
Provider Entity Type
Organization
Address
1625 Simms St, Lakewood, CO, 80215-2611
Phone Number
303-238-8161
Fax Number
303-238-2714
Provider Enumeration Date
04/07/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
05523532 05 CO
institution
Provider Business Practice Location Address Details
Address
1625 Simms St
City
Lakewood
State
Colorado
Zip
80215-2611
Phone Number
303-238-8161
Fax Number
303-238-2714
person
Provider Business Mailing Address Details
Address
1625 Simms St
City
Lakewood
State
Colorado
Zip
80215-2611
Phone Number
303-238-8161
Fax Number
303-238-2714
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
0573 (Colorado)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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