Evergreen Acquisition Operator, LLC
Skilled Nursing Facility in Stafford Springs, Connecticut
1700634094- Practice location
- 205 Chestnut Hill RD, Stafford Springs, CT 06076-4005
- Phone
- 516-705-4800
- Fax
- 516-887-8494
- Last updated
- May 10, 2024
Evergreen Acquisition Operator, LLC is a healthcare organization based in Stafford Springs, CT. Evergreen Acquisition Operator, LLC practices in Stafford Springs, CT. The NPI Number for Evergreen Acquisition Operator, LLC is 1700634094. The current practice location address for Evergreen Acquisition Operator, LLC is 205 Chestnut Hill RD, Stafford Springs, CT 06076-4005 and can be reached out via phone at 516-705-4800 and via fax at 516-887-8494.
Provider Profile Details
- NPI Number
- 1700634094
- Provider Name
- Evergreen Acquisition Operator, LLC
- Provider Entity Type
- Organization
- Address
- 205 Chestnut Hill RD, Stafford Springs, CT 06076-4005
- Phone Number
- 516-705-4800
- Fax Number
- 516-887-8494
- Primary Taxonomy
- Skilled Nursing Facility · 314000000X
- Organization Subpart
- No
- Authorized Official
- Mr. Marvin J Ostreicher · Managing Member · 516-705-4801
- Other Names
- Evergreen Center For Health & Rehabilitation (Doing Business As)
- Provider Enumeration Date
- May 10, 2024
- Last Update Date
- May 10, 2024
- Certification Date
- May 10, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 205 Chestnut Hill RD
Stafford Springs, CT 06076-4005 - City
- Stafford Springs
- State
- Connecticut
- Zip
- 06076-4005
- Phone Number
- 516-705-4800
- Fax Number
- 516-887-8494
Provider Business Mailing Address Details
- Address
- 20 E Sunrise Hwy Fl 2
Valley Stream, NY 11581-1260 - City
- Valley Stream
- State
- NY
- Zip
- 11581-1260
- Phone Number
- 516-705-4800
- Fax Number
- 516-887-8494
License Information
- Taxonomy
- Skilled Nursing Facility · 314000000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Skilled Nursing Facility providers near Stafford Springs, CT
View all Skilled Nursing Facility providers in Stafford Springs →- Echn Johnson Evergreen CorporationSkilled Nursing Facility · NPI 1114165511
- Johnson Evergreen CorporationSkilled Nursing Facility · NPI 1053427609
- Stafford Springs CT SNF LLCSkilled Nursing Facility · NPI 1407231616
- Nancy Kelly, LCSWSocial Worker, Clinical · NPI 1942895107
- Ashley E Brayman, EDD, LPC, NCCCounselor, Professional · NPI 1033991328
- Walgreen CoPharmacy · NPI 1467975482
Frequently Asked Questions
What is the NPI number of Evergreen Acquisition Operator, LLC?
The NPI number of Evergreen Acquisition Operator, LLC is 1700634094. It was assigned on May 10, 2024 and is currently active in the NPPES registry.
What is the specialty of Evergreen Acquisition Operator, LLC?
Evergreen Acquisition Operator, LLC is registered under the primary taxonomy Skilled Nursing Facility (code 314000000X).
Where does Evergreen Acquisition Operator, LLC practice?
The practice location is 205 Chestnut Hill RD, Stafford Springs, CT 06076-4005. The office can be reached at 516-705-4800 (phone) or 516-887-8494 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1700634094 directly on the NPPES registry website.