Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Evergreen Convalescent Hospital and Rehabilitation Center, Inc

Organization Skilled Nursing Facility · NPI 1245237965

Evergreen Convalescent Hospital and Rehabilitation Center, Inc is a Skilled Nursing Facility in Modesto, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2030 Evergreen Ave
Modesto, CA 95350-3785 Not confirmed with CMS for 13 years — call before visiting
Phone: (209) 577-1055
Fax: (209) 550-3619
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 100000038 (CA)

Record details

NPI number1245237965
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Benedict Cipponeri — Chief Executive Officer · (209) 577-1055
Other names Evergreen Nursing & Rehabilitation Care Center
NPI enumeratedJuly 7, 2005
Last updated in NPPESMay 21, 2013
Mailing address2030 Evergreen Ave, Modesto, CA 95350-3785

Clinicians affiliated with this facility

Clinicians the CMS Facility Affiliation file lists at this facility.

Other providers in Modesto