Organization · Type 2 NPI

Evergreen Retirement Community, Inc.

Home Health Agency · Oshkosh, WI

NPI number 1588097810 Active

Practice location

1125 N Westfield St
Oshkosh, WI 54902-3216

Fax (920) 966-0334

Specialties and licenses

Taxonomy	Code	License
Home Health Agency Primary	251E00000X	1186 (WI)

Home Health Agency: A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organ…

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NPI record

NPI: 1588097810
Entity type: Organization (Type 2)
Issued: Aug 9, 2013
Last updated: Jul 29, 2022
Status: Active
Subpart: Yes of Evergreen Retirement Community, Inc.

Other names

<unavail>
Evergreen at Home · doing business as
Evergreen at Home · doing business as

Authorized official

Mrs. Peggy Bellin, RN
Administrator
(920) 237-2140

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About NPI 1588097810

Evergreen Retirement Community, Inc.'s National Provider Identifier is 1588097810, issued on Aug 9, 2013. The primary taxonomy on file is Home Health Agency (251E00000X), and the practice location is in Oshkosh, WI. The record was last updated on Jul 29, 2022.