institution
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. You can also correspond with Evergreen Retirement Community, Inc. through the mailing address at 1125 N WESTFIELD ST, OSHKOSH, WI - 54902-3216 (mailing address contact number: 844-654-7600).

Location: 1125 N Westfield St, Oshkosh, WI, 54902-3216
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
State
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
State
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
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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