Evergreen At Petaluma, L.l.c.

  • 1104874940 NPI Number
  • |
  • Actived: 18 years ago
  • |
Evergreen At Petaluma, L.l.c. is a health care provider based in Petaluma, CA. The NPI Number is 1104874940 and it has been active since 18 years ago. The specialty is Skilled Nursing Facility, providing comprehensive mental health services to individuals, families, and communities. If you are looking for Skilled Nursing Facility services, Evergreen At Petaluma, L.l.c. is an excellent option. We are here to help you get the care you need.

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Overview of Evergreen At Petaluma, L.l.c.

  • NPI number: 1558967950
  • Provider type: Organization
  • Active since: 05/04/2006
  • Last updated: 01/30/2017

Primary Scrop of Practice

  • Taxonomy Code: 314000000X
  • Specialty: Skilled Nursing Facility
  • License Number: 010000018
  • License State: CA

Provider Mailing Address

  • Address: 4601 Ne 77th Ave
    Suite 300
    Vancouver, WA 98662
  • Phone: 360-892-6628
  • Fax: 360-882-5793

Provider Practice Location

  • Address: 300 Douglas St
    Petaluma, CA 94952
  • Phone: 707-763-6887
  • Fax: 707-763-0314

Authorized Official

  • Name: Brent Weil
  • Position/Title: Ceo And Manager
  • Telephone Number: 360-892-6628

Scope of Practice

  • Taxonomy Code: 314000000X
  • Specialty: Skilled Nursing Facility
  • License Number: 010000018
  • License State: CA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: ZZRO6120J
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: CA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Evergreen At Petaluma, L.l.c.?
  • A: The npi number for Evergreen At Petaluma, L.l.c. is 1104874940.
  • Q: What are Evergreen At Petaluma, L.l.c.'s specialties?
  • A: Evergreen At Petaluma, L.l.c.'s specialties are Skilled Nursing Facility and different specialities.
  • Q: Where is Evergreen At Petaluma, L.l.c. business practice location?
  • A: Evergreen At Petaluma, L.l.c. business practice location is 300 Douglas St, Petaluma, CA 94952.
  • Q: How to contact Evergreen At Petaluma, L.l.c.?
  • A: You can contact Evergreen At Petaluma, L.l.c. via 707-763-6887.
  • Q: What is the authorized official for Evergreen At Petaluma, L.l.c.?
  • A: The authorized office name is Brent Weil with position/title is Ceo And Manager and you can reach the authorized official via phone number 3608926628.
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