Evergreen At Gardnerville, L.l.c. is a
Skilled Nursing Facility based in Gardnerville, Nevada. Evergreen At Gardnerville, L.l.c. is licensed to practice in Nevada (license number 3995SNF-5) and their current practice location is
1573 Muller Pkwy, Gardnerville, Nevada. It can be reached at their office (for appointments etc.) via phone at
(775) 782-6620.
NPI number for Evergreen At Gardnerville, L.l.c. is 1083662514 and their current mailing address is 4601 Ne 77th Ave, Suite 300, Vancouver, Washington. Evergreen At Gardnerville, L.l.c.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1083662514.
Healthcare Provider's Profile
| Full Name | Evergreen At Gardnerville, L.l.c. |
|---|
| Type | Facility |
|---|
| Speciality | Skilled Nursing Facility |
|---|
| Location | 1573 Muller Pkwy, Gardnerville, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1083662514
- Provider Enumeration Date: 05/05/2006
- Last Update Date: 02/01/2022
Medical Identifiers
Medical identifiers for Evergreen At Gardnerville, L.l.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083662514 | NPI | - | NPPES |
| 100503498 | Medicaid | NV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 314000000X | Skilled Nursing Facility | 3995SNF-5 (Nevada) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Evergreen At Gardnerville, L.l.c. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Evergreen At Gardnerville, L.l.c.
4601 Ne 77th Ave, Suite 300,
Vancouver, WA 98662-6736
Ph: (360) 892-6628 | Evergreen At Gardnerville, L.l.c.
1573 Muller Pkwy,
Gardnerville, NV 89410-7918
Ph: (775) 782-6620 |
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