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Evergreen Manor Senior Care Centre, Llc
Nursing Facility Supplies (DME) in Springfield, Michigan
NPI 1992855316

Evergreen Manor Senior Care Centre, Llc is a Nursing Facility Supplies (DME) based in Brighton, MI and is specialized in Nursing Facility Supplies. Evergreen Manor Senior Care Centre, Llc practices in Springfield, MI. The NPI Number for Evergreen Manor Senior Care Centre, Llc is 1992855316 and holds a License No. 134160 (Michigan).

The current practice location address for Evergreen Manor Senior Care Centre, Llc is 111 Evergreen Rd, Springfield, MI and can be reached out via phone at 269-969-6110 and via fax at 269-969-6710.

Location: 111 Evergreen Rd, Springfield, MI, 48116-6551
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992855316
Provider Name
Evergreen Manor Senior Care Centre, Llc
Credential
Provider Entity Type
Organization
Address
111 Evergreen Rd, Springfield, MI, 48116-6551
Phone Number
269-969-6110
Fax Number
269-969-6710
Provider Enumeration Date
01/10/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4406078 05 MI
09903 01 MI BCBSM
0A30320 01 MI BCBS DME P&O
institution
Provider Business Practice Location Address Details
Address
111 Evergreen Rd
City
Springfield
State
Michigan
Zip
49037-7417
Phone Number
269-969-6110
Fax Number
269-969-6710
person
Provider Business Mailing Address Details
Address
111 Evergreen Rd
City
Springfield
State
Michigan
Zip
49037-7417
Phone Number
269-969-6110
Fax Number
269-969-6710
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Skilled Nursing Facility
Speciality
-
Taxonomy
314000000X
License No.
134160 (Michigan)
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.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
Nursing Facility Supplies
Taxonomy
332BN1400X
License No.
134160 (Michigan)
Definition
Definition to come...
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