Evergreen at Lakeport, LLC
Evergreen at Lakeport, LLC is a Skilled Nursing Facility in Lakeport, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1291 Craig AveLakeport, CA 95453-5704
Phone: (707) 263-6382
Fax: (707) 263-7213
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Skilled Nursing Facility (primary) | Taxonomy 314000000X · Licence 010000142 (CA) |
|---|
Record details
| NPI number | 1699723460 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Empres California Healthcare, LLC |
| Authorized official | Brent Weil — Ceo And Manager · (360) 892-6628 |
| Other names | Evergreen Lakekport Healthcare |
| NPI enumerated | May 4, 2006 |
| Last updated in NPPES | January 30, 2017 |
| Mailing address | 1291 Craig Ave, Lakeport, CA 95453-5704 |
Other providers in Lakeport
-
Lakeport Post Acute, LLC
1291 Craig Ave, Lakeport, CA 95453-5704 · (707) 263-6382
-
Lakeport Skilled Nursing Center, Inc
625 16th St, Lakeport, CA 95453-3599 · (707) 263-6300
-
Windflower Holdings, LLC
625 16th St, Lakeport, CA 95453-3501 · (707) 263-6101