EVERGREEN HEALTH AND LIVING CENTER
NPI 1003812181
Skilled Nursing Facility in Southfield,


Quality Rating: 100 out of 100 score

NPI Status: Active since June 23, 2005

Contact Information

19933 W 13 Mile Rd
Southfield,
Post Code: 48076
Phone: (248) 203-9000
Fax: (248) 203-9001

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Evergreen Health And Living Center in Southfield - Skilled Nursing Facility

Evergreen Health And Living Center is a Skilled Nursing Facility in Southfield, . Evergreen Health And Living Center practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Evergreen Health And Living Center is 1003812181. The last update date is 2019-10-31.

Evergreen Health And Living Center's current location address is 19933 W 13 Mile Rd, Southfield, . You can contact this provider via phone number (248) 203-9000 and fax number (248) 203-9001. The mailing address for Evergreen Health And Living Center is 19933 W 13 Mile Rd, Southfield, . To know further, please read the information below!

About GREGORY MERRITT

NPI
1003812181
Provider Legal Name
EVERGREEN HEALTH AND REHABILITATION CENTER, LLC
Other Organization Name
EVERGREEN HEALTH AND LIVING CENTER
Other Name Type
Doing Business As(3)
Entity Type
Organization
Location Address
19933 W 13 Mile Rd, Southfield,
Location Phone
(248) 203-9000
Location Fax
(248) 203-9001
Mailing Address
19933 W 13 Mile Rd, Southfield, Michigan(MI)
Mailing Phone
248-203-9000
Mailing Fax
248-203-9001
Enumeration Date
2005-06-23
Last Update Date
2019-10-31
Code Navigator

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Skilled Nursing Facility

Taxonomy Code
314000000X
Type
-
License No.
63-4021
License State
Michigan (MI)
Taxonomy Description
-

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003812181
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20031614116
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. 20031614116
2 + 0 + 0 + 3 + 1 + 6 + 1 + 4 + 1 + 1 + 6 + 24 = 49
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 49 = 1 1

The NPI number 1003812181 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1003811662 JYOTHSNA YALAVARTHI
Individual
Internal Medicine 28050 GRAND RIVER AVE
FARMINGTON HILLS, Michigan (MI)
734-464-0887
1003811605 JOHN EARL KAMINSKI
Individual
Optometrist 1504 HARCREST DR
MIDLAND, Michigan (MI)
989-636-7580
1003811589 NICOLE S BOXER
Individual
Family Medicine 181 W EMMETT ST
BATTLE CREEK, Michigan (MI)
269-441-3403
1003811092 LEE MICHAEL STERENBERG
Individual
Family Medicine 600 PARK AVE
GRAND HAVEN, Michigan (MI)
616-847-8700
1003810912 VICTORIA MARIE SCHREIBER
Individual
Counselor, Professional 7383 RADCLIFF DR
WEST BLOOMFIELD, Michigan (MI)
248-476-4515