Organization · Type 2 NPI

Evergreen at Heartwood Avenue, L.l.c.

Skilled Nursing Facility · Vallejo, CA

NPI number 1245288083 Active

Practice location

1044 Heartwood Ave
Vallejo, CA 94591-5637

Fax (707) 643-5209

Mailing address

4601 NE 77th Ave, Suite 300
Vancouver, WA 98662-6736

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X010000020 (CA)

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…

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About NPI 1245288083

Evergreen at Heartwood Avenue, L.l.c.'s National Provider Identifier is 1245288083, issued on May 4, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Vallejo, CA. The record was last updated on Jan 30, 2017.