EVERGREEN POST ACUTE LLC
NPI 1053128314
Skilled Nursing Facility in Smyrna, DE

Active since December 11, 2024CLIA 08D0206894 · Waiver
3034 S DUPONT BLVD, SMYRNA, DE 19977(302) 653-5085 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Evergreen Post Acute Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EVERGREEN POST ACUTE LLC (NPI 1053128314), doing business as Green Valley Snf Llc, is a healthcare organization registered as a skilled nursing facility in Smyrna, Delaware and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through July 27, 2027 and lists Moshe A Stern, Member/director, as its authorized official.

NPPES Registry Identity

NPI1053128314
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameEVERGREEN POST ACUTE LLC
Location Address3034 S DUPONT BLVDSmyrna, DE 19977-1898
Mailing Address477 Oak Glen RdHowell, NJ 07731-8932 · (848) 249-7005
Organization SubpartNo
Authorized OfficialMoshe A SternMember/director · (848) 249-7951
Enumeration DateDecember 11, 2024
NPPES CertifiedDecember 11, 2024
NPI 1053128314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.
3034 S DUPONT BLVD, Smyrna, DE 19977

Other Names 1

Former Legal Business NameGreen Valley Snf Llc

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 08D0206894

Evergreen Post Acute LLC · Smyrna, DE
Active · expires Jul 27, 2027
CLIA Number08D0206894
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorRitu A. Rastogi
Laboratory Phone(302) 653-5085
Laboratory LocationEvergreen Post Acute LLC3034 South Dupont Boulevard, Smyrna, DE 19977
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
3034 S DUPONT BLVD
SMYRNA, DE 19977
Skilled Nursing Facility
3034 S DUPONT BLVD
SMYRNA, DE 19977
Nurse Practitioner
3034 S DUPONT BLVD
SMYRNA, DE 19977
Physical Therapy Assistant
3034 S DUPONT BLVD
SMYRNA, DE 19977
Skilled Nursing Facility
3034 S DUPONT BLVD
SMYRNA, DE 19977

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Evergreen Post Acute LLC's NPI number?

The NPI number for Evergreen Post Acute LLC is 1053128314. It was assigned to this organization in the NPPES registry on December 11, 2024. The provider was formerly known as Green Valley SNF LLC.

Where is Evergreen Post Acute LLC located?

Evergreen Post Acute LLC is located at 3034 S Dupont Blvd, Smyrna, DE 19977. The listed phone number is (302) 653-5085.

What is Evergreen Post Acute LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Evergreen Post Acute LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 08D0206894) is associated with this NPI, valid through July 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Evergreen Post Acute LLC was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.