NPI 1144279472 · live from the CMS NPI Registry
Evergreen At Mountain View, L.L.C.
Skilled Nursing Facility in Carson City, NV. National Provider Identifier 1144279472, active.
NPI record
| NPI | 1144279472 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 201 Koontz Ln, Carson City, NV 89701 |
| Practice phone | 775-883-3622 |
| Mailing address | 4601 Ne 77th Ave, Suite 300, Vancouver, WA 98662 |
| Enumerated | May 5, 2006 |
| Last updated | January 30, 2017 |
| Authorized official | Brent Weil, Ceo And Manager |
| Other names | Mountain View Health And Rehabilitation Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | 3331SNF-15 (NV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.