EVERGREEN AT MOUNTAIN VIEW, L.L.C.


Address: 201 Koontz Ln, Carson City, NV 89701-5513
Phone: 7758833622

EVERGREEN AT MOUNTAIN VIEW, L.L.C. (NPI# 1144279472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144279472
Entity Type Organization
Organization Name EVERGREEN AT MOUNTAIN VIEW, L.L.C.
Other Organization Name MOUNTAIN VIEW HEALTH AND REHABILITATION CENTER
Practice Address 201 Koontz Ln
Carson City
NV 89701-5513
Mailing Address 4601 Ne 77th Ave
Suite 300
Vancouver
WA 98662-6736
Practice Telephone 7758833622
Practice Fax Number 7758833744
Mailing Telephone 3608926628
Mailing Fax Number 3608825793
Enumeration Date 2006-05-05
Last Update Date 2017-01-30
Authorized Official Name BRENT WEIL (CEO AND MANAGER)
Authorized Official Telephone 3608926628
Is Organization Subpart Y
Parent Organization Name EMPRES NEVADA HEALTHCARE, LLC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 314000000X Skilled Nursing Facility 3331SNF-15 NV Nursing & Custodial Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NV 1913700 05

Other Provider/Organization Names

Other Name Type Code
Mountain View Health and Rehabilitation Center Doing Business As Name - Organization

Office Location

Street Address 201 KOONTZ LN
City CARSON CITY
State NV
Zip Code 89701-5513

Providers in the same location

NPI Name Taxonomy Address Enumeration
1467014662 Alyssa Gutschick Speech-Language Pathologist 201 Koontz Ln, Carson City, NV 89701-5513 2019-07-08
1902380967 Vision Consultants Optometrist 201 Koontz Ln, Carson City, NV 89701-5513 2018-09-17
1982180527 Jenny Kristine Singh Physician Assistant 201 Koontz Ln, Carson City, NV 89701-5513 2018-07-17
1841701901 Jennifer Preman Physical Therapist 201 Koontz Ln, Carson City, NV 89701-5513 2017-10-17
1528508637 Lindsay Rae Jackson Speech-Language Pathologist 201 Koontz Ln, Carson City, NV 89701-5513 2017-03-08
1649724196 Andy Martinez Physical Therapist 201 Koontz Ln, Carson City, NV 89701-5513 2016-08-12
1538559653 Kyle Denise Hamilton Physical Therapist 201 Koontz Ln, Carson City, NV 89701-5513 2015-01-27
1285860767 Anna Catherine Mccullough Physical Therapy Assistant 201 Koontz Ln, Carson City, NV 89701-5513 2009-06-10
1497922363 Jennifer Amy Bainton Physical Therapist 201 Koontz Ln, Carson City, NV 89701-5513 2008-05-10
1821265927 Monique Giron Occupational Therapist 201 Koontz Ln, Carson City, NV 89701-5513 2008-05-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1295398741 Tammy Lea Ritter Registered Nurse 727 Fairview Dr, Suite A, Carson City, NV 89701 2019-04-19
1417445644 Veatrice Marie Buckley Chore Provider 343 Fairview Dr., #101, Carson City, NV 89701 2018-04-24
1619417821 Melhuish & Associates PC Durable Medical Equipment & Medical Supplies 2350 S Carson St, Ste 3, Carson City, NV 89701 2017-03-07
1942625579 Kristi Lin Berg Social Worker 777 E William St Ste 102, Carson City, NV 89701 2014-02-18
1992141493 Rumi Ota Marriage & Family Therapist 755 N Roop St Ste 101, Carson City, NV 89701 2013-05-11
1700127743 Pauline Jenni King Nurse Practitioner 1206 S Carson St, Carson City, NV 89701 2013-03-14
1740524503 Bodie Ward Coates Counselor 755 N. Roop St. #101, Carson City, NV 89701 2012-11-19
1699085407 Jacque Michael Negrete Social Worker 777 E William St Ste 106, Carson City, NV 89701 2010-10-14
1295045102 Mountain West Anesthesia Nurse Anesthetist, Certified Registered 1801 North Carson Street, Carson City, NV 89701 2010-10-13
1831342617 Heal Therapy of Nevada Social Worker 405 N Roop St, Carson City, NV 89701 2008-10-24
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Taxonomy Information

Taxonomy Code 314000000X
Grouping Nursing & Custodial Care Facilities
Classification Skilled Nursing Facility

Taxonomy Definition

(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 reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417171844 The Laurels of Carson City, LLC Skilled Nursing Facility 620 N. Second Street, Carson City, MI 48811 2007-04-13
1578500302 Thi of Nevada At Carson LLC Skilled Nursing Facility 2898 Us Highway 50 E, Carson City, NV 89701-2811 2006-06-01
1558319889 Evergreen At Carson City, L.L.C. Skilled Nursing Facility 3050 N Ormsby Blvd, Carson City, NV 89703-8378 2006-05-05
1801396247 Carson City Snf Ventures LLC Skilled Nursing Facility 1001 Mountain St, Carson City, NV 89703-3848 2018-02-12
1750536322 Covenant Care Carson, LLC Skilled Nursing Facility 2898 Us Highway 50 E, Carson City, NV 89701-2811 2008-11-24
1679784243 Thi of Nevada At Carson LLC Skilled Nursing Facility 2898 Us Highway 50 E, Carson City, NV 89701-2811 2007-05-25

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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1245867159 Starfruit Holdings, LLC Skilled Nursing Facility 4375 S Eastern Ave, Paradise, NV 89119 2020-03-23
1932664158 Lychee Holdings, LLC Skilled Nursing Facility 8565 W Rome Blvd, Las Vegas, NV 89149 2019-02-01
1245704626 Villas of Las Vegas LLC Skilled Nursing Facility 9230 Corbett St # 101, Las Vegas, NV 89149-2337 2019-01-18
1902376494 Avalon Care Center-va Reno, LLC Skilled Nursing Facility 36 Battle Born Way, Sparks, NV 89431 2018-11-28
1811421712 Henderson Long Term Care LLC Skilled Nursing Facility 2965 Wigwam Parkway, Henderson, NV 89074 2017-04-18
1770024309 Grape Holdings, LLC Skilled Nursing Facility 2350 Ione Road, Las Vegas, NV 89124 2017-03-15
1881133767 Mmmt Corporation Skilled Nursing Facility 8225 W Robindale Rd, Las Vegas, NV 89113 2017-02-13
1437697430 Ahc of Henderson LLC Skilled Nursing Facility 1285 East Cactus Avenue, Henderson, NV 89183-7714 2017-02-09
1508303090 Ghc of Henderson LLC Skilled Nursing Facility 2855 W Horizon Ridge Pkwy, Henderson, NV 89052 2017-01-23
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Competitor

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City CARSON CITY
Zip Code 89701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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