EVERGREEN AT GRIDLEY SNF L.L.C. NPI 1902854755

NPI Details

EVERGREEN AT GRIDLEY SNF, L.L.C. is a skilled nursing facility in Gridley, CA. The provider is (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. EVERGREEN AT GRIDLEY SNF, L.L.C. NPI is 1902854755. The provider is registered as an organization entity type.
The provider Is Doing Business As Evergreen Gridley Healthcare Center.

The provider's business location address is:

246 SPRUCE ST
GRIDLEY, CA
ZIP 95948-216
Phone: (530) 846-6266
Fax: (530) 846-5132

The provider's authorized official is Anne M. Nipp .
The authorized official title is Manager and has the following contact phone number (360) 892-6628.

The CLIA number assigned to this NPI record is 50D2310186 - other - afh with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 1/4/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.