institution
Evergreen At Lakeport, L.l.c.
Skilled Nursing Facility in Lakeport, California
NPI 1699723460

Evergreen At Lakeport, L.l.c. is a Skilled Nursing Facility based in Lakeport, CA. Evergreen At Lakeport, L.l.c. practices in Lakeport, CA. The NPI Number for Evergreen At Lakeport, L.l.c. is 1699723460 and holds a License No. 010000142 (California).

The current practice location address for Evergreen At Lakeport, L.l.c. is 1291 Craig Ave, Lakeport, CA and can be reached out via phone at 707-263-6382 and via fax at 707-263-7213.

Location: 1291 Craig Ave, Lakeport, CA, 95453-5704
institution
Provider Profile Details
NPI Number
1699723460
Provider Name
Evergreen At Lakeport, L.l.c.
Credential
Provider Entity Type
Organization
Address
1291 Craig Ave, Lakeport, CA, 95453-5704
Phone Number
707-263-6382
Fax Number
707-263-7213
Provider Enumeration Date
05/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
LTC55222H 05 CA
institution
Provider Business Practice Location Address Details
Address
1291 Craig Ave
City
State
Zip
95453-5704
Phone Number
707-263-6382
Fax Number
707-263-7213
person
Provider Business Mailing Address Details
Address
1291 Craig Ave
City
State
Zip
95453-5704
Phone Number
707-263-6382
Fax Number
707-263-7213
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
License No.
010000142 (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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