EVERGREEN AT LAUREL, L.L.C. (NPI# 1750339149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750339149 |
| Entity Type | Organization |
| Organization Name | EVERGREEN AT LAUREL, L.L.C. |
| Other Organization Name | LAUREL HEALTH AND REHABILITATION CENTER |
| Practice Address |
820 3rd Ave Laurel MT 59044-2023 |
| Mailing Address |
4601 Ne 77th Ave Suite 300 Vancouver WA 98662-6736 |
| Practice Telephone | 4066288251 |
| Practice Fax Number | 4066288253 |
| Mailing Telephone | 3608926628 |
| Mailing Fax Number | 3608825793 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2017-01-30 |
| Authorized Official Name | BRENT WEIL (CEO AND MANAGER) |
| Authorized Official Telephone | 3608926628 |
| Is Organization Subpart | Y |
| Parent Organization Name | EMPRES MONTANA HEALTHCARE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 9413 | MT | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | 310114 | 05 |
| Other Name | Type Code |
|---|---|
| Laurel Health and Rehabilitation Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | EVERGREEN AT LAUREL, L.L.C. | 820 3rd Ave, Laurel, MT 59044-2023 |
| Street Address |
820 3RD AVE |
| City | LAUREL |
| State | MT |
| Zip Code | 59044-2023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376177675 | Justin Cabrera | Occupational Therapist | 820 3rd Ave, Laurel, MT 59044-2023 | 2020-02-25 |
| 1801429675 | Michelle Suzanne Boydston-mulholland | Occupational Therapy Assistant | 820 3rd Ave, Laurel, MT 59044-2023 | 2020-02-19 |
| 1437615622 | Courtney King | Occupational Therapy Assistant | 820 3rd Ave, Laurel, MT 59044-2023 | 2019-02-13 |
| 1922531763 | Jaime Nelson | Speech-Language Pathologist | 820 3rd Ave, Laurel, MT 59044-2023 | 2017-04-08 |
| 1104229848 | Laurie Mcneil | Occupational Therapist | 820 3rd Ave, Laurel, MT 59044-2023 | 2014-10-08 |
| 1962833053 | Sherry Loris | Speech-Language Pathologist | 820 3rd Ave, Laurel, MT 59044-2023 | 2013-11-27 |
| 1124260245 | Janet Marie Hyams | Physical Therapist | 820 3rd Ave, Laurel, MT 59044-2023 | 2009-04-03 |
| 1508021221 | Jenna J Tjelde | Physical Therapist | 820 3rd Ave, Laurel, MT 59044-2023 | 2008-07-22 |
| 1225293954 | Meagan L Kimmel | Speech-Language Pathologist | 820 3rd Ave, Laurel, MT 59044-2023 | 2008-07-22 |
| 1790952422 | Allison Murphine | Physical Therapist | 820 3rd Ave, Laurel, MT 59044-2023 | 2008-05-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477171270 | Marji Cunningham | Nurse Practitioner | 1403 Hill Crest Ave, N/a, Laurel, MT 59044 | 2020-07-08 |
| 1104992908 | Robert Bruce Vannice | Family Medicine | 319 1st Ave, Laurel, MT 59044 | 2006-11-27 |
| 1376638304 | Sam R Pollock | Dentist | 15 Montana Ave, Laurel, MT 59044 | 2006-10-04 |
| 1932623923 | Timothy Polacheck | Pharmacist | 101 Bernhardt Rd, Laurel, MT 59044 | 2017-08-01 |
| 1700997608 | Jody Lynn Crowl | Dentist | 113 W Main St, Laurel, MT 59044 | 2006-08-31 |
| 1659389500 | Maurer Chiropractic PC | Chiropractor | 113 E Main St, Laurel, MT 59044 | 2006-08-04 |
| 1104152982 | Janeil E Anderson | Counselor | 1000 Rockfork Cir, Laurel, MT 59044-1848 | 2009-10-28 |
| 1245890201 | Angie Mitchell | Home Health | 714 7th Ave, Laurel, MT 59044-1922 | 2019-06-20 |
| 1912225061 | Carla A. Castro | Counselor | 918 2nd Ave, Laurel, MT 59044-2017 | 2010-05-13 |
| 1417994369 | Lori Forseth | Family Medicine | 1035 1st Ave, Laurel, MT 59044-2119 | 2006-05-31 |
| Find all providers in zip 59044 | ||||
| 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 |
|---|---|---|---|---|
| 1407977085 | Ssc Laurel Operating Company LLC | Skilled Nursing Facility | 14200 Laurel Park Dr, Laurel, MD 20707-5201 | 2007-04-02 |
| 1124074620 | Cherry Lane Medical Investors LLC | Skilled Nursing Facility | 9001 Cherry Ln, Laurel, MD 20708-1155 | 2006-05-26 |
| 1326038092 | Clc of Laurel, LLC | Skilled Nursing Facility | 1036 West Dr, Laurel, MS 39440-4706 | 2005-10-25 |
| 1265420152 | Care Center of Laurel | Skilled Nursing Facility | 935 West Dr, Laurel, MS 39440-4703 | 2005-10-13 |
| 1144217696 | Hillcrest Care Center | Skilled Nursing Facility | 702 Cedar Ave, Laurel, NE 68745-1714 | 2005-09-30 |
| 1518094358 | Community Care Center of Laurel, LLC | Skilled Nursing Facility | 935 West Dr, Laurel, MS 39440-4703 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770047581 | Lakeview Assisted Living LLC | Skilled Nursing Facility | 7437 Castle Rock Lake Dr, Colstrip, MT 59323-9533 | 2019-01-25 |
| 1124426283 | Genesis Rehabilitation | Skilled Nursing Facility | 1130 17 Th Ave South, Great Falls, MT 59405 | 2014-12-05 |
| 1336546811 | Empres At Lewistown, LLC | Skilled Nursing Facility | 410 Wendell Ave, Lewistown, MT 59457-2261 | 2014-11-26 |
| 1053728014 | Montana Vamc | Skilled Nursing Facility | 210 South Winchester, Miles City, MT 59301-4757 | 2014-07-22 |
| 1912189572 | Northeast Montana Health Services,inc | Skilled Nursing Facility | 1000 6th Ave N, Wolf Point, MT 59201-1828 | 2007-12-05 |
| 1205051729 | Elkhorn Health Care Inc | Skilled Nursing Facility | 474 Mt Highway 282, Clancy, MT 59634-9519 | 2007-04-17 |
| 1508990698 | Chouteau County District Hospital | Skilled Nursing Facility | 1501 St. Charles, Fort Benton, MT 59442 | 2007-03-14 |
| 1386790160 | Cnh Acquisitions Inc. | Skilled Nursing Facility | 3131 Amherst Ave, Butte, MT 59701-4653 | 2007-01-26 |
| 1942378534 | Memorial Hospital Association | Skilled Nursing Facility | 600 West 21st St, Red Lodge, MT 59068-0590 | 2006-12-01 |
| 1538248067 | Blackfeet Tribe | Skilled Nursing Facility | South Government Square, South Government Square, Browning, MT 59417-0728 | 2006-11-03 |
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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.