EVERGREEN AT ARVIN L L C (NPI# 1568410769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568410769 |
| Entity Type | Organization |
| Organization Name | EVERGREEN AT ARVIN L L C |
| Other Organization Name | EVERGREEN ARVIN HEALTHCARE |
| Practice Address |
323 Campus Dr Arvin CA 93203-1047 |
| Mailing Address |
4601 Ne 77th Ave Suite 300 Vancouver WA 98662-6729 |
| Practice Telephone | 6618544475 |
| Practice Fax Number | 6618544950 |
| Mailing Telephone | 3608926628 |
| Mailing Fax Number | 3608825793 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2013-01-09 |
| Authorized Official Name | MR. DALE L. PATTERSON (MANAGER) |
| Authorized Official Telephone | 3608926628 |
| Is Organization Subpart | Y |
| Parent Organization Name | EMPRES CALIFORNIA HEALTHCARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 120000167 | CA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LTC55170I | 05 |
| Other Name | Type Code |
|---|---|
| Evergreen Arvin Healthcare | Doing Business As Name - Organization |
| Street Address |
323 CAMPUS DR |
| City | ARVIN |
| State | CA |
| Zip Code | 93203-1047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831709542 | Ela Fiesta | Physical Medicine & Rehabilitation | 323 Campus Dr, Arvin, CA 93203-1047 | 2020-08-06 |
| 1518580356 | Thomas Dipalma | Occupational Therapy Assistant | 323 Campus Dr, Arvin, CA 93203-1047 | 2020-05-27 |
| 1710276118 | Karan Brown | Occupational Therapy Assistant | 323 Campus Dr, Arvin, CA 93203-1047 | 2011-04-06 |
| 1487820072 | Leticia R Graham | Occupational Therapy Assistant | 323 Campus Dr, Arvin, CA 93203-1047 | 2008-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588194252 | Melvin Peralta | Pharmacist | 505 B Bear Mountain Blvd, Arvin, CA 93203 | 2017-06-15 |
| 1497293070 | Windsor Arvin Healthcare, LLC | Skilled Nursing Facility | 323 Campus Drive, Arvin, CA 93203 | 2017-02-03 |
| 1881961811 | Angelica Maria Rivas | Social Worker | 1305 Bear Mountain Blvd, Arvin, CA 93203 | 2011-11-18 |
| 1972895514 | Arthur G. Kaiser Dds | Dentist | 734 Bear Mountain Blvd, Arvin, CA 93203 | 2011-05-13 |
| 1457501710 | Jo Ann Natividad Saba | Pediatrics | 1305 Bear Mountain Blvd, Arvin, CA 93203 | 2008-09-23 |
| 1851599328 | Marsha Baker | Obstetrics & Gynecology | 1305 Bear Mountain Blvd, Arvin, CA 93203 | 2007-07-06 |
| 1104966241 | Sandra Jean Gong | Dentist | 101 Comanche Dr, Arvin, CA 93203-0172 | 2007-02-07 |
| 1285775502 | Sandra J Gong Dds Dental Corp. | Dentist | 101 Comanche Dr, Arvin, CA 93203-0172 | 2007-02-09 |
| 1013128552 | Soheila Torabi | Family Medicine | 146 N Hill St, Arvin, CA 93203-1014 | 2007-05-25 |
| 1861506743 | Ronnie-vic Pasiliao | Family Medicine | 146 North Hill, Arvin, CA 93203-1014 | 2006-08-18 |
| Find all providers in zip 93203 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497293070 | Windsor Arvin Healthcare, LLC | Skilled Nursing Facility | 323 Campus Drive, Arvin, CA 93203 | 2017-02-03 |
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| 1033737051 | Beautiful Homes Residential Care Inc | Skilled Nursing Facility | 22525 Cerise Ave, Torrance, CA 90505-2913 | 2020-07-07 |
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
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| 1861018327 | Covina Clhf Corporation | Skilled Nursing Facility | 1411 S Sandia Ave, West Covina, CA 91790-3309 | 2020-06-22 |
| 1780204024 | Neighbor Care Congregate Home, Inc. | Skilled Nursing Facility | 3249 Gerald Dr, Newbury Park, CA 91320-2948 | 2020-04-16 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.