Organization · Type 2 NPI

Evergreen Health and Rehabilitation Center, LLC

Skilled Nursing Facility · Southfield, MI

NPI number 1003812181 Active

Practice location

19933 W 13 Mile Rd
Southfield, MI 48076-1024

Fax (248) 203-9001

Specialties and licenses

Taxonomy	Code	License
Skilled Nursing Facility Primary	314000000X	63-4021 (MI)

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 r…

8 other providers at this address

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NPI record

NPI: 1003812181
Entity type: Organization (Type 2)
Issued: Jun 23, 2005
Last updated: Jun 16, 2026
Status: Active

Other names

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Evergreen Health and Living Center · doing business as
Evergreen Health and Rehabilitation Center · doing business as

Authorized official

Andrew Sowles
Administrator
(248) 203-9000

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003812181

Evergreen Health and Rehabilitation Center, LLC's National Provider Identifier is 1003812181, issued on Jun 23, 2005. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Southfield, MI. The record was last updated on Jun 16, 2026.