THE EVERGREENS INC.
Adult Care Home
High Point, North Carolina
Provider NPI: 1487668216
Organization Information:Organization Name: THE EVERGREENS INC.
Practice Location:
206 GREENSBORO RD HIGH POINT, NC 27260 US
Tel: 336-886-4121 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
206 GREENSBORO RD HIGH POINT, NC 27260 US
Tel: 336-886-4121 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | NC | NH0236 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | NC | NH0236 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
3405178 | NC | 05 | |
3406161 | NC | 05 | |
BCBS PROVIDER NUMBER | 00830 | NC | 01 |
MCAID PCS PROVIDER NO | 7801625 | NC | 01 |
PARTNERS PROVIDER NUMBER | 23497 | NC | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin