NPI 1003812181 · live from the CMS NPI Registry
Evergreen Health And Rehabilitation Center, LLC
Skilled Nursing Facility in Southfield, MI. National Provider Identifier 1003812181, active.
NPI record
| NPI | 1003812181 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 19933 W 13 Mile Rd, Southfield, MI 48076 |
| Practice phone | 248-203-9000 |
| Enumerated | June 23, 2005 |
| Last updated | June 16, 2026 |
| Authorized official | Andrew Sowles, Administrator |
| Other names | Evergreen Health And Rehabilitation Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 63-4021 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.