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Evergreen Retirement Community, Inc.
Home Health Agency in Oshkosh, Wisconsin
NPI 1588097810

Evergreen Retirement Community, Inc. is a Home Health Agency based in Oshkosh, WI. Evergreen Retirement Community, Inc. practices in Oshkosh, WI. The NPI Number for Evergreen Retirement Community, Inc. is 1588097810 and holds a License No. 1186 (Wisconsin).

The current practice location address for Evergreen Retirement Community, Inc. is 1125 N Westfield St, Oshkosh, WI and can be reached out via phone at 920-237-6205 and via fax at 920-966-0334.

Location: 1125 N Westfield St, Oshkosh, WI, 54902-3216
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588097810
Provider Name
Evergreen Retirement Community, Inc.
Credential
Provider Entity Type
Organization
Address
1125 N Westfield St, Oshkosh, WI, 54902-3216
Phone Number
920-237-6205
Fax Number
920-966-0334
Provider Enumeration Date
08/09/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
527321 01 WI PTAN
100049268 05 WI
institution
Provider Business Practice Location Address Details
Address
1125 N Westfield St
City
Oshkosh
State
Wisconsin
Zip
54902-3216
Phone Number
920-237-6205
Fax Number
920-966-0334
person
Provider Business Mailing Address Details
Address
1125 N Westfield St
City
Oshkosh
State
Wisconsin
Zip
54902-3216
Phone Number
920-237-6205
Fax Number
920-966-0334
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
1186 (Wisconsin)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
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